MACON STATE PRISON REGIONAL PHARMACY
NPI 1316438393
Pharmacy - Institutional Pharmacy in Oglethorpe, GA

Q: What is Macon State Prison Regional Pharmacy's NPI number?

The NPI number for Macon State Prison Regional Pharmacy is 1316438393. It was assigned to this organization in the NPPES registry on May 24, 2018.

Q: What is Macon State Prison Regional Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Active since May 24, 2018CLIA 11D2259137 · Waiver

2728 GA HIGHWAY 49 S, OGLETHORPE, GA 31068(478) 472-3639(478) 472-3640 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Macon State Prison Regional Pharmacy NPPES

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

MACON STATE PRISON REGIONAL PHARMACY (NPI 1316438393) is a healthcare organization registered as an institutional pharmacy in Oglethorpe, Georgia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Shawn Law, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1316438393

Entity TypeOrganization

Primary Taxonomy3336I0012X

Legal Business NameMACON STATE PRISON REGIONAL PHARMACY

Location Address2728 GA HIGHWAY 49 SOglethorpe, GA 31068-8129

Mailing AddressPo Box 426Oglethorpe, GA 31068-0426 · (478) 472-3639 · Fax (478) 472-3640

Phone(478) 472-3639

Fax(478) 472-3640

Organization SubpartYesParent: Georgia Department Of Corrections

Authorized OfficialShawn LawPharmacy Director · (478) 472-3639

Enumeration DateMay 24, 2018

✔ NPI 1316438393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers

Taxonomy Code3336I0012X

License✔ Licensed in GA · PHPR007682

Definition

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.

2728 GA HIGHWAY 49 S, Oglethorpe, GA 31068

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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 11D2259137

Macon State Prison · Ogelthorpe, GA

Active · expires May 2, 2028

CLIA Number11D2259137

Laboratory TypePrison

Certificate Effective DateMay 3, 2026

Certificate Expiration DateMay 2, 2028

Laboratory DirectorPamela Maxie

Laboratory Phone(678) 470-3977

Laboratory LocationMacon State Prison2728 Highway 49 South, Ogelthorpe, GA 31068

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Macon State Prison Regional Pharmacy's NPI number?

The NPI number for Macon State Prison Regional Pharmacy is 1316438393. It was assigned to this organization in the NPPES registry on May 24, 2018.

Where is Macon State Prison Regional Pharmacy located?

Macon State Prison Regional Pharmacy is located at 2728 Ga Highway 49 S, Oglethorpe, GA 31068. The listed phone number is (478) 472-3639.

What is Macon State Prison Regional Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Macon State Prison Regional Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2259137) is associated with this NPI, valid through May 2, 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 Macon State Prison Regional Pharmacy was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.