NPIMap

Organization Active NPI

Georgia Diagnostic & Classification Prison Pharmacy

  • Institutional Pharmacy
  • Jackson, GA
National Provider Identifier
1689165482
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
PHPR003513 Issued in GA
Legal business name
GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY
Practice address
2978 Highway 36 W
Jackson, GA 30233-6150
Phone
(770) 504-2010
Fax
(770) 504-2256
NPI assigned
May 29, 2018
Organization subpart
Yes
Parent organization
GEORGIA DEPARTMENT OF CORRECTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Dr. Cynthia Abrams, PHARMD
Title
Pharmacy Director
Phone
(770) 504-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X PHPR003513 GA Primary

Addresses

Primary practice location

2978 Highway 36 W
Jackson, GA 30233-6150

Mailing address

PO Box 3877
Jackson, GA 30233-0078

National Provider Directory

National Provider Directory
Tax ID family
Georgia State Prison Regional Pharmacy9 organizations share this tax ID, including this one
Part of
Georgia State Prison Regional Pharmacy

Other organizations with this tax ID 8

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

Locations

2978 Highway 36 W
Jackson, GA 30233
Phone (770) 504-2112

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1689165482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302330078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 HIGHWAY 36 W",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302336150",
            "telephone_number": "770-504-2010",
            "fax_number": "770-504-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA DEPARTMENT OF CORRECTIONS",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "770-504-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "GA",
            "license": "PHPR003513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.