NPIMap

Organization Active NPI

Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • San Quentin, CA
National Provider Identifier
1922308642
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
Practice address
1 Main Street
San Quentin, CA 94964
Phone
(415) 454-1460
Fax
(415) 419-4234
NPI assigned
Oct 28, 2010
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Institutional Pharmacy 3336I0012X 17378 CA

Addresses

Primary practice location

1 Main Street
San Quentin, CA 94964

Mailing address

1 Main Street
San Quentin, CA 94964
Phone (415) 454-1460

Other identifiers 1

IdentifierTypeStateIssuer
5639212OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Neumiller Infirmary 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

Locations

1 Main St
San Quentin, CA 94964
Phone (415) 721-3590

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1922308642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN STREET",
            "city": "SAN QUENTIN",
            "state": "CA",
            "postal_code": "94964",
            "telephone_number": "415-454-1460",
            "fax_number": "415-419-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN STREET",
            "city": "SAN QUENTIN",
            "state": "CA",
            "postal_code": "94964",
            "telephone_number": "415-454-1460",
            "fax_number": "415-419-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONS AND REHABILITATION-HEADQUARTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORRECTIONS AND REHABILITATION",
        "enumeration_date": "2010-10-28",
        "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
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CA",
            "license": "17378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5639212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neumiller Infirmary Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Quentin, 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.