GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY (NPI# 1689165482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689165482 |
| Entity Type | Organization |
| Organization Name | GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY |
| Practice Address |
2978 Highway 36 W Jackson GA 30233-6150 |
| Mailing Address |
Po Box 3877 Jackson GA 30233-0078 |
| Practice Telephone | 7705042010 |
| Practice Fax Number | 7705042256 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | DR. CYNTHIA ABRAMS (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 7705042010 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA DEPARTMENT OF CORRECTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PHPR003513 | GA | Suppliers |
| Street Address |
2978 HIGHWAY 36 W |
| City | JACKSON |
| State | GA |
| Zip Code | 30233-6150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568661320 | Joseph Fowlkes | Internal Medicine | 2978 Highway 36 W, Jackson, GA 30233 | 2007-07-12 |
| 1225680820 | Noel Uriah Nelson | Registered Nurse | 2978 Highway 36 W, Jackson, GA 30233-6150 | 2019-07-12 |
| 1316326523 | Leslie Diane Jarrett | Clinical Nurse Specialist | 2978 Highway 36 W, Jackson, GA 30233-6150 | 2015-05-20 |
| 1235518549 | Steven Finderson | Physician Assistant | 2978 Highway 36 W, Jackson, GA 30233-6150 | 2015-05-20 |
| 1235303223 | James Edward Barron | Dentist | 2978 Highway 36 W, Jackson, GA 30233 | 2008-04-21 |
| 1750575130 | Aleta Maria Gardner | Family Medicine | 2978 Highway 36 W, Jackson, GA 30233 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800914 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 860 W 3rd St, Jackson, GA 30233 | 2016-02-10 |
| 1306225057 | Young Dreaden | Nurse Practitioner | 2978 Hwy 36w, Jackson, GA 30233 | 2015-05-28 |
| 1609255520 | Neta J Roby | Nurse Practitioner | Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 | 2015-05-26 |
| 1033546098 | Henrietta Lindsay | Social Worker | 463-b Ernest Biles Dr, Jackson, GA 30233 | 2013-10-04 |
| 1255776993 | Gareth Gene Walker | Technician | 514 Covinton Street, Jackson, GA 30233 | 2013-05-08 |
| 1730489592 | Mary L. Melton | Licensed Practical Nurse | 463 Ernest Biles Dr., Jackson, GA 30233 | 2010-10-27 |
| 1083864250 | Chastity Moore Brown | Dentist | 1520 Lucky Street, Griffin, GA 30233 | 2008-09-24 |
| 1942386289 | Butts County Board of Commissioners | Ambulance | 154 Sylvan Drive, Jackson, GA 30233 | 2006-10-30 |
| 1841238300 | Jackson Pharmacy Services | Pharmacy | 22 Mulberry St., Jackson, GA 30233 | 2006-06-04 |
| 1740755719 | Byron A Thompson | Counselor | 794 Mcdonough Rd, Jackson, GA 30233 | 2018-10-05 |
| Find all providers in zip 30233 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999789 | State Veterans Affairs Board | Pharmacy | 4607 Lindbergh Dr, Jackson, MS 39209-3855 | 2018-04-17 |
| 1811039704 | Jackson-madison County General Hospital | Pharmacy | 708 W Forest Ave, Jackson, TN 38301-3901 | 2007-02-14 |
| 1003979386 | St. Dominic-jackson Memorial Hospital | Pharmacy | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932690922 | Middle Georgia Correctional Complex Pharmacy | Pharmacy | 2271 Vinson Hwy Se, Milledgeville, GA 31061-4807 | 2018-05-24 |
| 1316438393 | Macon State Prison Regional Pharmacy | Pharmacy | 2728 Ga Highway 49 S, Oglethorpe, GA 31068-8129 | 2018-05-24 |
| 1851882013 | Lee Arrendale State Prison Pharmacy | Pharmacy | 2023a Gainesville Hwy, Alto, GA 30510-4435 | 2018-05-23 |
| 1831689728 | Autry State Prison Pharmacy | Pharmacy | 3178 Mount Zion Church Rd, Pelham, GA 31779 | 2018-05-16 |
| 1003939794 | Nw Ga Regional Hospital | Pharmacy | 705 N Division St Nw, Rome, GA 30165-1454 | 2007-04-09 |
| 1861505430 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 325 Lawrence Rd, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-16 |
| 1902397995 | Pulaski State Prison Regional Pharmacy | Pharmacy | 373 Upper River Rd, Hawkinsville, GA 31036-8898 | 2018-05-24 |
| 1184115321 | Georgia State Prison Regional Pharmacy | Pharmacy | 300 1st Ave S, Reidsville, GA 30453-9304 | 2018-05-23 |
| 1972094134 | Valdosta State Prison Regional Pharmacy | Pharmacy | 3259 Val Tech Rd, Valdosta, GA 31602-9309 | 2018-05-23 |
| 1902397151 | Augusta State Medical Prison | Pharmacy | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2018-05-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.