NPIMap

Organization Active NPI

Middle Georgia Correctional Complex Pharmacy

  • Institutional Pharmacy
  • Milledgeville, GA
National Provider Identifier
1932690922
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
PHPR006485 Issued in GA
Legal business name
MIDDLE GEORGIA CORRECTIONAL COMPLEX PHARMACY
Practice address
2271 Vinson Hwy SE
Milledgeville, GA 31061-4807
Phone
(478) 445-5586
Fax
(478) 445-2659
NPI assigned
May 24, 2018
Last updated
May 24, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
GEORGIA DEPARTMENT OF CORRECTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Debbie O'Hanlon, RPH
Title
Pharmacy Director
Phone
(478) 445-5586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X PHPR006485 GA Primary

Addresses

Primary practice location

2271 Vinson Hwy SE
Milledgeville, GA 31061-4807

Mailing address

PO Box 278
Hardwick, GA 31034-0278
Phone (478) 445-5586

National Provider Directory

National Provider Directory
Tax ID family
Middle Georgia Correctional Complex Pharmacy9 organizations share this tax ID, including this one
Part of
Middle Georgia Correctional Complex Pharmacy

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1932690922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "HARDWICK",
            "state": "GA",
            "postal_code": "310340278",
            "telephone_number": "478-445-5586",
            "fax_number": "478-445-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 VINSON HWY SE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614807",
            "telephone_number": "478-445-5586",
            "fax_number": "478-445-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA CORRECTIONAL COMPLEX PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA DEPARTMENT OF CORRECTIONS",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "O'HANLON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "478-445-5586",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "GA",
            "license": "PHPR006485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.