NPIMap

Organization Active NPI

Corrections and Rehabilitation-Headquarters

Doing business as Richard J Donovan Correctional Facility E Pharmacy

  • Pharmacy
  • San Diego, CA
National Provider Identifier
1275169005
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CORRECTIONS AND REHABILITATION-HEADQUARTERS
Doing business as
Richard J Donovan Correctional Facility E Pharmacy
Practice address
481 Alta Road
Facility E, Facility Support Building, Room A161
San Diego, CA 92179
Phone
(619) 661-6500
Fax
(619) 661-7894
NPI assigned
Mar 12, 2020
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CORRECTIONS AND REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pierre Caesare Saucier James
Title
Staff Services Manager I
Phone
(510) 780-6997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

481 Alta Road
Facility E, Facility Support Building, Room A161
San Diego, CA 92179

Mailing address

481 Alta Road
Facility E, Facility Support Building, Room A161
San Diego, CA 92179
Phone (619) 661-6500

Other names 1

  • Richard J Donovan Correctional Facility E Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corrections and Rehabilitation-Headquarters42 organizations share this tax ID, including this one
Part of
Corrections and Rehabilitation-Headquarters

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1275169005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 ALTA ROAD",
            "address_2": "FACILITY E, FACILITY SUPPORT BUILDING, ROOM A161",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92179",
            "telephone_number": "619-661-6500",
            "fax_number": "619-661-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 ALTA ROAD",
            "address_2": "FACILITY E, FACILITY SUPPORT BUILDING, ROOM A161",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92179",
            "telephone_number": "619-661-6500",
            "fax_number": "619-661-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONS AND REHABILITATION-HEADQUARTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORRECTIONS AND REHABILITATION",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "CAESARE SAUCIER",
        "authorized_official_title_or_position": "STAFF SERVICES MANAGER I",
        "authorized_official_telephone_number": "510-780-6997"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard J Donovan Correctional Facility E Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Richard J Donovan Correctional Facility E Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.