LEE ARRENDALE STATE PRISON PHARMACY (NPI# 1851882013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851882013 |
| Entity Type | Organization |
| Organization Name | LEE ARRENDALE STATE PRISON PHARMACY |
| Practice Address |
2023a Gainesville Hwy Alto GA 30510-4435 |
| Mailing Address |
Po Box 709 Alto GA 30510-0709 |
| Practice Telephone | 7067760661 |
| Practice Fax Number | 7067764982 |
| Mailing Telephone | 7067760661 |
| Mailing Fax Number | 7067764982 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | TOM POOLE (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 7067760661 |
| Authorized Official Credential | RPH |
| 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 |
PHPR006157 | GA | Suppliers |
| Street Address |
2023A GAINESVILLE HWY |
| City | ALTO |
| State | GA |
| Zip Code | 30510-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073847828 | Eklas Mohammed | Advanced Practice Midwife | 2023a Gainsville Highway South, Alto, GA 30510 | 2009-09-28 |
| 1679780845 | Joyce Campbell | Nurse Practitioner | 2023 A Gainesville Highway South, Alto, GA 30510 | 2007-05-17 |
| 1922219948 | David Morris Walker | Family Medicine | 2023a Gainesville Highway South, Alto, GA 30510-0709 | 2007-05-24 |
| 1659456622 | Ana Garfield Inc | Case Management | 3104 Crane Mill Rd, Alto, GA 30510-2632 | 2006-10-26 |
| 1821386061 | Michelle Annette Callaway | Case Manager/Care Coordinator | 3104 Crane Mill Rd, Alto, GA 30510-2632 | 2011-07-20 |
| 1023193083 | Ana Garfield | Case Manager/Care Coordinator | 3104 Crane Mill Rd, Alto, GA 30510-2632 | 2006-10-26 |
| 1780903245 | Georgia Mountains Community Services | Day Training, Developmentally Disabled Services | 2454 Mud Creek Rd, Alto, GA 30510-2707 | 2010-05-24 |
| 1245649938 | Chrissy Owenby | Contractor | 1837 Wilbanks Rd, Alto, GA 30510-3363 | 2014-08-06 |
| 1811321011 | Northeast Ga Midlevel Services | Physician Assistant | 2800 Crane Mill Rd, Alto, GA 30510-3621 | 2013-08-25 |
| 1952783177 | Healthstat Onsite Clinic Mvm Alto | Preventive Medicine | 2850 Gainesville Hwy, Alto, GA 30510-4719 | 2015-06-24 |
| Find all providers in zip 30510 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1689165482 | Georgia Diagnostic & Classification Prison Pharmacy | Pharmacy | 2978 Highway 36 W, Jackson, GA 30233-6150 | 2018-05-29 |
| 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.