NPIMap

Organization Active NPI

Valdosta State Prison Regional Pharmacy

  • Institutional Pharmacy
  • Valdosta, GA
National Provider Identifier
1972094134
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
PHPR003519 Issued in GA
Legal business name
VALDOSTA STATE PRISON REGIONAL PHARMACY
Practice address
3259 Val Tech Rd
Valdosta, GA 31602-9309
Phone
(229) 333-7943
Fax
(229) 333-7966
NPI assigned
May 23, 2018
Organization subpart
Yes
Parent organization
GEORGIA DEPARTMENT OF CORRECTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Kay Norton, RPH
Title
Pharmacy Director
Phone
(229) 333-7943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X PHPR003519 GA Primary

Addresses

Primary practice location

3259 Val Tech Rd
Valdosta, GA 31602-9309

Mailing address

PO Box 310
Valdosta, GA 31603-0310
Phone (229) 333-7943

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

3259 Val Tech Rd
Valdosta, GA 31602
Phone (229) 249-4971

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1972094134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316030310",
            "telephone_number": "229-333-7943",
            "fax_number": "229-333-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 VAL TECH RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316029309",
            "telephone_number": "229-333-7943",
            "fax_number": "229-333-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALDOSTA STATE PRISON REGIONAL PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA DEPARTMENT OF CORRECTIONS",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "229-333-7943",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "GA",
            "license": "PHPR003519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.