PULASKI STATE PRISON REGIONAL PHARMACY (NPI# 1902397995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902397995 |
Entity Type | Organization |
Organization Name | PULASKI STATE PRISON REGIONAL PHARMACY |
Practice Address |
373 Upper River Rd Hawkinsville GA 31036-8898 |
Practice Telephone | 4787836097 |
Practice Fax Number | 4787836252 |
Mailing Telephone | 4787836097 |
Mailing Fax Number | 4787836252 |
Enumeration Date | 2018-05-24 |
Last Update Date | 2018-05-24 |
Authorized Official Name | RANDY GOODROE (PHARMACY DIRECTOR) |
Authorized Official Telephone | 4787836097 |
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 |
PHPR007792 | GA | Suppliers |
Street Address |
373 UPPER RIVER RD |
City | HAWKINSVILLE |
State | GA |
Zip Code | 31036-8898 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790163178 | Lynne Lamberth | Nurse Practitioner | 373 Upper River Rd, Hawkinsville, GA 31036-7945 | 2015-05-18 |
1124569777 | Haylee Ward | Nurse Practitioner | 373 Upper River Rd, Hawkinsville, GA 31036-7945 | 2017-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053733899 | Ashley Peavy | Registered Nurse | 1228 Perry Hwy, Hawkinsville, GA 31036 | 2014-01-14 |
1407145816 | Regina B Harrell | Pharmacist | #8 Surrey Plaza, Rite Aid Pharmacy, Hawkinsville, GA 31036 | 2011-04-06 |
1710286018 | Paige D Dawson | Pharmacist | 8 Surrey Plaza, Hawkinsville, GA 31036 | 2011-03-25 |
1770881849 | James Wooten O'neal IIi | Pharmacist | 8 Surry Plaza, Hawkinsville, GA 31036 | 2011-03-14 |
1174847818 | Rosario P Ceniza | Pediatrics | 12 Spring Valley Rd, Hawkinsville, GA 31036 | 2010-03-24 |
1568643773 | Amedisys Georgia L.L.C. | Home Health | 32 341 Bypass, Hawkinsville, GA 31036 | 2007-11-15 |
1417073560 | Institutional Pharmacy Solutions Inc | Pharmacy | 115 - B Commerce St., Hawkinsville, GA 31036 | 2007-03-21 |
1336211234 | Hawkinsville Dental Associates, LLC | Dentist | Route 4 Box 7085, Hawkinsville, GA 31036 | 2006-11-15 |
1447340567 | Larry David Gattis | Family Medicine | 412 Commerce St, Hawkinsville, GA 31036 | 2006-10-13 |
1184710857 | Myron Keith Lewis | Family Medicine | 292 Industrial Blvd., Suite 102, Hawkinsville, GA 31036 | 2006-10-04 |
Find all providers in zip 31036 |
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 |
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 |
1689165482 | Georgia Diagnostic & Classification Prison Pharmacy | Pharmacy | 2978 Highway 36 W, Jackson, GA 30233-6150 | 2018-05-29 |
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 |
City | HAWKINSVILLE |
Zip Code | 31036 |
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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.