1. Home
  2. Directory
  3. California
  4. Susanville
  5. Pharmacy
  6. NPI Profile

HIGH DESERT STATE PRISON PHARMACY
NPI 1013543578
Pharmacy in Susanville, CA

Active since March 17, 2020CLIA 05D0912539 · Waiver
475-750 RICE CANYON ROAD, SUSANVILLE, CA 96127(530) 251-5100(530) 251-5065 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Mar 17, 2020 (2 updates tracked since 2020).

About High Desert State Prison Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGH DESERT STATE PRISON PHARMACY (NPI 1013543578) is a healthcare organization registered as a pharmacy in Susanville, California and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through June 25, 2027 and lists Pierre Caesare Saucier James, Staff Services Manager I, as its authorized official.

NPPES Registry Identity

NPI1013543578
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCORRECTIONS AND REHABILITATION-HEADQUARTERS
Location Address475-750 RICE CANYON ROADSusanville, CA 96127
Mailing AddressP.o. Box 270220Susanville, CA 96127 · (530) 251-5100 · Fax (530) 251-5065
Phone(530) 251-5100
Fax(530) 251-5065
Organization SubpartYesParent: Corrections And Rehabilitation
Authorized OfficialPierre Caesare Saucier JamesStaff Services Manager I · (510) 780-6997
Enumeration DateMarch 17, 2020
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1013543578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
475-750 RICE CANYON ROAD, Susanville, CA 96127
Open in Google Maps ↗

Other Names 1

Doing Business AsHigh Desert State Prison Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0912539

High Desert State Prison Laboratory · Susanville, CA
Active · expires Jun 25, 2027
CLIA Number05D0912539
Laboratory TypeOther
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorKevin Rueter
Laboratory Phone(530) 251-5100
Laboratory LocationHigh Desert State Prison Laboratory475-750 Rice Canyon Rd, Susanville, CA 96130
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID JOTHAM SNELL M.D.
Internal Medicine
475-750 RICE CANYON ROAD, MEDICAL ADMINISTRATION
SUSANVILLE, CA 96127
Lassen County (530) 251-5100
KARA ELIZABETH GATELY
Social Worker (Clinical)
475-750 RICE CANYON ROAD
SUSANVILLE, CA 96127
Lassen County (530) 251-5100
MR. JEREMY LEE MACE LCSW
Social Worker (Clinical)
475-750 RICE CANYON ROAD
SUSANVILLE, CA 96127
Lassen County (530) 251-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corrections And Rehabilitation-Headquarters's NPI number?

The NPI number for Corrections And Rehabilitation-Headquarters is 1013543578. It was assigned to this organization in the NPPES registry on March 17, 2020. The provider is doing business as High Desert State Prison Pharmacy.

Where is Corrections And Rehabilitation-Headquarters located?

Corrections And Rehabilitation-Headquarters is located at 475-750 Rice Canyon Road, Susanville, CA 96127. The listed phone number is (530) 251-5100.

What is Corrections And Rehabilitation-Headquarters's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Corrections And Rehabilitation-Headquarters hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0912539) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Corrections And Rehabilitation-Headquarters was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.