CORCORAN STATE PRISON HOSPITAL PHARMACY
NPI 1376190876
Pharmacy in Corcoran, CA

Q: What is Corrections And Rehabilitation-Headquarters's specialty?

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

Active since August 20, 2019CLIA 05D0868967 · Waiver

4001 KING AVENUE, CORCORAN, CA 93212(559) 992-8800(559) 992-7381 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 18, 2020, Aug 20, 2019 (3 updates tracked since 2019).

On this page

About Corcoran State Prison Hospital Pharmacy NPPES

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

CORCORAN STATE PRISON HOSPITAL PHARMACY (NPI 1376190876) is a healthcare organization registered as a pharmacy in Corcoran, California and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Pierre Caesare Saucier James, Staff Services Manager I, as its authorized official.

NPPES Registry Identity

NPI1376190876

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameCORRECTIONS AND REHABILITATION-HEADQUARTERS

Location Address4001 KING AVENUECorcoran, CA 93212

Mailing Address4001 King AvenueCorcoran, CA 93212 · (559) 992-8800 · Fax (559) 992-7381

Phone(559) 992-8800

Fax(559) 992-7381

Organization SubpartYesParent: Corrections And Rehabilitation

Authorized OfficialPierre Caesare Saucier JamesStaff Services Manager I · (510) 780-6997

Enumeration DateAugust 20, 2019

Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1376190876 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.

4001 KING AVENUE, Corcoran, CA 93212

Open in Google Maps ↗

Other Names 1

Doing Business AsCorcoran State Prison Hospital Pharmacy

Other Identifiers 1

OtherBC3615222CA · Corcoran State Prison Hospital 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 05D0868967

Corcoran State Prison Ctc Lab · Corcoran, CA

Active · expires Jan 11, 2027

CLIA Number05D0868967

Laboratory TypePrison

Certificate Effective DateJanuary 12, 2025

Certificate Expiration DateJanuary 11, 2027

Laboratory DirectorMarie A. Russell

Laboratory Phone(559) 992-8800

Laboratory LocationCorcoran State Prison Ctc Lab4001 King Ave, Corcoran, CA 93212

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

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

DR. WILLIAM EDWARD MEKEEL D.M.D.

Dentist (General Practice)

4001 KING AVENUE
CORCORAN, CA 93212

Kings County (559) 992-8800

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 1376190876. It was assigned to this organization in the NPPES registry on August 20, 2019. The provider is doing business as Corcoran State Prison Hospital Pharmacy.

Where is Corrections And Rehabilitation-Headquarters located?

Corrections And Rehabilitation-Headquarters is located at 4001 King Avenue, Corcoran, CA 93212. The listed phone number is (559) 992-8800.

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 05D0868967) is associated with this NPI, valid through January 11, 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.