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AUGUSTA STATE MEDICAL PRISON NPI 1902397151


NPI Information

NPI: 1902397151
Provider Name: AUGUSTA STATE MEDICAL PRISON
Classification: Pharmacy - 3336I0012X
Entity Type: Organization

Specialization: Institutional Pharmacy

CLIA Number: 11D1032456

Address:
3001 GORDON HWY
GROVETOWN, GA
ZIP 30813
Phone: (706) 855-4744
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AUGUSTA STATE MEDICAL PRISON is an institutional pharmacy pharmacy in Grovetown, GA. The provider is 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. AUGUSTA STATE MEDICAL PRISON NPI is 1902397151. The provider is registered as an organization entity type.

The provider's business location address is:

3001 GORDON HWY
GROVETOWN, GA
ZIP 30813-808
Phone: (706) 855-4744
Fax: (706) 869-7990

The provider's authorized official is Elaine Reifinger .
The authorized official title is Pharmacy Director and has the following contact phone number (706) 855-4789.

The CLIA number assigned to this NPI record is 11D1032456 - prison with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/23/2018 and was last updated on 5/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336I0012XPharmacyInstitutional PharmacyPHH006083GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.