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AVENAL STATE PRISON
NPI 1376178103
Pharmacy in Avenal, CA

Active since March 12, 2020CLIA 05D2035825 · Waiver
1 KINGS WAY, AVENAL, CA 93204(559) 386-0587(559) 386-7442 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2024, Mar 12, 2020 (2 updates tracked since 2020).

About Avenal State Prison NPPES

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

AVENAL STATE PRISON (NPI 1376178103) is a healthcare organization registered as a pharmacy in Avenal, 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

NPI1376178103
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCORRECTIONS AND REHABILITATION-HEADQUARTERS
Location Address1 KINGS WAYAvenal, CA 93204
Mailing AddressP.o. Box 8Avenal, CA 93204 · (559) 386-0587 · Fax (559) 386-7442
Phone(559) 386-0587
Fax(559) 386-7442
Organization SubpartYesParent: Corrections And Rehabilitation
Authorized OfficialPierre Caesare Saucier JamesStaff Services Manager I · (510) 780-6997
Enumeration DateMarch 12, 2020
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1376178103 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.
1 KINGS WAY, Avenal, CA 93204
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Other Names 1

Doing Business AsAvenal State Prison

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 05D2035825

Avenal State Prison (laboratory Dept) · Avenal, CA
Active · expires Jan 24, 2028
CLIA Number05D2035825
Laboratory TypePrison
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorEmmanuel Conanan
Laboratory Phone(559) 386-0587
Laboratory LocationAvenal State Prison (laboratory Dept)#1 Kingsway, Avenal, CA 93204
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

SARAH BUCK
Counselor (Addiction (Substance Use Disorder))
1 KINGS WAY
AVENAL, CA 93204
Kings County (559) 386-9964
SHALINI MONICA KABEER
Student in an Organized Health Care Education/Training Program
1 KINGS WAY
AVENAL, CA 93204
Kings County (559) 386-0587
DR. NORMAN NHA D. NGUYEN DDS
Dentist
1 KINGS WAY
AVENAL, CA 93204
Kings County (559) 386-0587
ANTOINETTE ZAMORANO
Social Worker (Clinical)
1 KINGS WAY
AVENAL, CA 93204
Kings County (559) 386-0587
DR. LISA MARIE SLOSARIK PHD
Psychologist (Forensic)
1 KINGS WAY
AVENAL, CA 93204
Kings County (559) 386-0587
JOVANNA MALDONADO LCSW
Social Worker (Clinical)
1 KINGS WAY
AVENAL, CA 93204
Kings County (559) 386-0587
TALON WAITE MSW
Student in an Organized Health Care Education/Training Program
1 KINGS WAY
AVENAL, CA 93204
Kings County (559) 386-0587
DR. MARK MASAMI SAKAI D.D.S.
Dentist (General Practice)
1 KINGS WAY, AVENAL STATE PRISON - DENTAL DEPT.
AVENAL, CA 93204
Kings County (559) 386-0587

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 1376178103. It was assigned to this organization in the NPPES registry on March 12, 2020. The provider is doing business as Avenal State Prison.

Where is Corrections And Rehabilitation-Headquarters located?

Corrections And Rehabilitation-Headquarters is located at 1 Kings Way, Avenal, CA 93204. The listed phone number is (559) 386-0587.

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 05D2035825) 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.