VALLEY STATE PRISON PHARMACY
NPI 1528694379
Pharmacy in Chowchilla, 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 March 12, 2020CLIA 05D2033288 · Waiver

21633 AVENUE 24 BLDG 1101 RM 173, CHOWCHILLA, CA 93610(559) 665-6100(559) 665-6878 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

On this page

About Valley State Prison Pharmacy NPPES

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

VALLEY STATE PRISON PHARMACY (NPI 1528694379) is a healthcare organization registered as a pharmacy in Chowchilla, California and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Pierre Caesare Saucier James, Staff Services Manager I, as its authorized official.

NPPES Registry Identity

NPI1528694379

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameCORRECTIONS AND REHABILITATION-HEADQUARTERS

Location Address21633 AVENUE 24 BLDG 1101 RM 173Chowchilla, CA 93610-0099

Mailing Address21633 Avenue 24 Bldg 1101 Rm 173Chowchilla, CA 93610-0099 · (559) 665-6100 · Fax (559) 665-6878

Phone(559) 665-6100

Fax(559) 665-6878

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 1528694379 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.

21633 AVENUE 24 BLDG 1101 RM 173, Chowchilla, CA 93610

Open in Google Maps ↗

Other Names 1

Doing Business AsValley 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 05D2033288

Valley State Prison · Chowchilla, CA

Active · expires Nov 28, 2027

CLIA Number05D2033288

Laboratory TypePrison

Certificate Effective DateNovember 29, 2025

Certificate Expiration DateNovember 28, 2027

Laboratory DirectorDr. Harminder Longia

Laboratory Phone(559) 665-6100

Laboratory LocationValley State Prison21633 Avenue 24, Chowchilla, CA 93610

CLIA data matches this NPI record on: Address Name Phone

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 Corrections And Rehabilitation-Headquarters's NPI number?

The NPI number for Corrections And Rehabilitation-Headquarters is 1528694379. It was assigned to this organization in the NPPES registry on March 12, 2020. The provider is doing business as Valley State Prison Pharmacy.

Where is Corrections And Rehabilitation-Headquarters located?

Corrections And Rehabilitation-Headquarters is located at 21633 Avenue 24 Bldg 1101 Rm 173, Chowchilla, CA 93610. The listed phone number is (559) 665-6100.

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 05D2033288) is associated with this NPI, valid through November 28, 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 21 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.