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RICHARD J DONOVAN CORRECTIONAL FACILITY PHARMACY
NPI 1205462769
Pharmacy in San Diego, CA

Active since March 17, 2020CLIA 05D0892370 · Waiver
480 ALTA ROAD, PHARMACY BUILDING ROOM 122, SAN DIEGO, CA 92179(619) 661-6500(619) 671-7588 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 Richard J Donovan Correctional Facility Pharmacy NPPES

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

RICHARD J DONOVAN CORRECTIONAL FACILITY PHARMACY (NPI 1205462769) is a healthcare organization registered as a pharmacy in San Diego, California and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Pierre Caesare Saucier James, Staff Services Manager I, as its authorized official.

NPPES Registry Identity

NPI1205462769
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCORRECTIONS AND REHABILITATION-HEADQUARTERS
Location Address480 ALTA ROAD, PHARMACY BUILDING ROOM 122San Diego, CA 92179
Mailing Address480 Alta Road, Pharmacy Building Room 122San Diego, CA 92179 · (619) 661-6500 · Fax (619) 671-7588
Phone(619) 661-6500
Fax(619) 671-7588
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 1205462769 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.
480 ALTA ROAD, San Diego, CA 92179
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Other Names 1

Doing Business AsRichard J Donovan Correctional Facility 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 05D0892370

Richard J Donovan Correctional Facility Clinical Laboratory · San Diego, CA
Active · expires Jan 24, 2028
CLIA Number05D0892370
Laboratory TypePrison
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorSteven E. Roberts
Laboratory Phone(619) 661-6500
Laboratory LocationRichard J Donovan Correctional Facility Clinical Laboratory480 Alta Road Attn Lab Dept, San Diego, CA 92179
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 5

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

DR. CHARLES FIELDING MARSH M.D.
Psychiatry & Neurology (Psychiatry)
480 ALTA ROAD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
RUTH ANN VILLASENOR LCSW
Social Worker (Clinical)
480 ALTA ROAD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. MALVERN C HOLLAND JR. ED.D.
Psychologist (Clinical)
480 ALTA ROAD, R.J. DONOVAN CORRECTIONAL FACILITY
SAN DIEGO, CA 92179
San Diego County (619) 955-2622
DR. ALAN GREG SPRINGER PHARM. D.
Pharmacist
480 ALTA ROAD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500
DR. JOHN CHARLES PRESTON III M.D.
Psychiatry & Neurology (Psychiatry)
480 ALTA ROAD
SAN DIEGO, CA 92179
San Diego County (619) 661-6500

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 1205462769. It was assigned to this organization in the NPPES registry on March 17, 2020. The provider is doing business as Richard J Donovan Correctional Facility Pharmacy.

Where is Corrections And Rehabilitation-Headquarters located?

Corrections And Rehabilitation-Headquarters is located at 480 Alta Road Pharmacy Building Room 122, San Diego, CA 92179. The listed phone number is (619) 661-6500.

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 05D0892370) is associated with this NPI, valid through January 24, 2028. 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.