NPIMap

Organization Active NPI

Corrections and Rehabilitation-Headquarters

Doing business as Avenal State Prison

  • Pharmacy
  • Avenal, CA
National Provider Identifier
1376178103
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
Avenal State Prison
Practice address
1 Kings Way
Avenal, CA 93204
Phone
(559) 386-0587
Fax
(559) 386-7442
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

1 Kings Way
Avenal, CA 93204

Mailing address

P.O. Box 8
Avenal, CA 93204
Phone (559) 386-0587

Other names 1

  • Avenal State Prison 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

Locations

1 Kings Way
Avenal, CA 93204
Phone (559) 386-0587

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

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": "1376178103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "93204",
            "telephone_number": "559-386-0587",
            "fax_number": "559-386-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KINGS WAY",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "93204",
            "telephone_number": "559-386-0587",
            "fax_number": "559-386-7442"
        }
    ],
    "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": "Avenal State Prison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avenal State Prison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avenal, 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.