MACON STATE PRISON REGIONAL PHARMACY (NPI# 1316438393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316438393 |
| Entity Type | Organization |
| Organization Name | MACON STATE PRISON REGIONAL PHARMACY |
| Practice Address |
2728 Ga Highway 49 S Oglethorpe GA 31068-8129 |
| Mailing Address |
Po Box 426 Oglethorpe GA 31068-0426 |
| Practice Telephone | 4784723639 |
| Practice Fax Number | 4784723640 |
| Mailing Telephone | 4784723639 |
| Mailing Fax Number | 4784723640 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | DR. SHAWN LAW (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 4784723639 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA DEPARTMENT OF CORRECTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PHPR007682 | GA | Suppliers |
| Street Address |
2728 GA HIGHWAY 49 S |
| City | OGLETHORPE |
| State | GA |
| Zip Code | 31068-8129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548597 | Judy Lynn Fajardo | Nurse Practitioner | 2728 Ga Highway 49 S, Oglethorpe, GA 31068-8129 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952795098 | Rachel Mcswain | Nurse Practitioner | 300 Medical Ct, Olgethorpe, GA 31068 | 2015-03-26 |
| 1811165699 | Middle Flint Community Service Board | Community/Behavioral Health | 100 Macon St North, Oglethorpe, GA 31068 | 2008-02-14 |
| 1962610451 | Chiquita Agatha Fye | Internal Medicine | 2728 Highway 49 South, Oglethorpe, GA 31068 | 2007-05-18 |
| 1356568398 | Brenda S Oglesby | Nurse Practitioner | 110 Chatham St, Oglethorpe, GA 31068 | 2007-04-19 |
| 1235224817 | Peter Sebastian Cimino IIi | Dentist | 297 Medical Ct., Oglethorpe, GA 31068 | 2006-10-03 |
| 1093811275 | Macon County Commissier of Roads & Revenues | Ambulance | 735 Ga Hwy 26 W., Oglethorpe, GA 31068 | 2006-09-15 |
| 1629173646 | Carl Felton Williams IIi | Dentist | 297 Medical Court, Oglethorpe, GA 31068 | 2006-09-14 |
| 1952317059 | Patti C Wright | Pharmacist | 298 Medical Ct, Oglethorpe, GA 31068 | 2006-07-31 |
| 1508870155 | Universal Pharm Inc | Pharmacy | 298 Medical Court, Oglethorpe, GA 31068 | 2006-07-28 |
| 1023045093 | Macon County Board of Health | Public Health or Welfare | 110 Chatham Street, Oglethorpe, GA 31068 | 2006-06-27 |
| Find all providers in zip 31068 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932690922 | Middle Georgia Correctional Complex Pharmacy | Pharmacy | 2271 Vinson Hwy Se, Milledgeville, GA 31061-4807 | 2018-05-24 |
| 1851882013 | Lee Arrendale State Prison Pharmacy | Pharmacy | 2023a Gainesville Hwy, Alto, GA 30510-4435 | 2018-05-23 |
| 1831689728 | Autry State Prison Pharmacy | Pharmacy | 3178 Mount Zion Church Rd, Pelham, GA 31779 | 2018-05-16 |
| 1003939794 | Nw Ga Regional Hospital | Pharmacy | 705 N Division St Nw, Rome, GA 30165-1454 | 2007-04-09 |
| 1861505430 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 325 Lawrence Rd, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-16 |
| 1689165482 | Georgia Diagnostic & Classification Prison Pharmacy | Pharmacy | 2978 Highway 36 W, Jackson, GA 30233-6150 | 2018-05-29 |
| 1902397995 | Pulaski State Prison Regional Pharmacy | Pharmacy | 373 Upper River Rd, Hawkinsville, GA 31036-8898 | 2018-05-24 |
| 1184115321 | Georgia State Prison Regional Pharmacy | Pharmacy | 300 1st Ave S, Reidsville, GA 30453-9304 | 2018-05-23 |
| 1972094134 | Valdosta State Prison Regional Pharmacy | Pharmacy | 3259 Val Tech Rd, Valdosta, GA 31602-9309 | 2018-05-23 |
| 1902397151 | Augusta State Medical Prison | Pharmacy | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2018-05-23 |
| Find all providers with the same taxonomy | ||||
| City | OGLETHORPE |
| Zip Code | 31068 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.