GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY
NPI 1689165482
Pharmacy - Institutional Pharmacy in Jackson, GA

NPI Status: Active since May 29, 2018

Contact Information

2978 HIGHWAY 36 W
JACKSON, GA
ZIP 30233
Phone: (770) 504-2010
Fax: (770) 504-2256

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  • Organization
  • Pharmacy
  • Institutional Pharmacy
  • CLIA Number: 11D2259240
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 05-03-2028

About GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY

This page provides the complete NPI Profile along with additional information for Georgia Diagnostic & Classification Prison Pharmacy, a provider established in Jackson, Georgia operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1689165482 assigned on May 2018. The practitioner's primary taxonomy code is 3336I0012X with license number PHPR003513 (GA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Cynthia Abrams Pharmd (Pharmacy Director)

NPI
1689165482
Provider Name
GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY
Entity Type
Organization
Location Address
2978 HIGHWAY 36 W JACKSON, GA 30233
Location Phone
(770) 504-2010
Location Fax
(770) 504-2256
Mailing Address
PO BOX 3877 JACKSON, GA 30233
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-29-2018
Last Update Date
05-29-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Institutional Pharmacy

Taxonomy Code
3336I0012X
Type
Suppliers
License No.
PHPR003513
License State
GA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CYNTHIA ABRAMS PHARMD

Authorized Official Title
PHARMACY DIRECTOR
Authorized Official Phone
(770) 504-2010

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2259240
Facility Type
Prison
Certificate Effective Date
May 04, 2026
Certificate Expiration Date
May 03, 2028
Laboratory Director
JAYNA THOMAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Georgia Diagnostic & Classification Prison Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689165482, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 2 + 6 + 1 + 0 + 4 + 1 + 6 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1689165482.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
2978 HIGHWAY 36 W
JACKSON, GA 30233
Dentist
2978 HIGHWAY 36 W
JACKSON, GA 30233
Clinical Nurse Specialist (Family Health)
2978 HIGHWAY 36 W
JACKSON, GA 30233
Physician Assistant (Medical)
2978 HIGHWAY 36 W
JACKSON, GA 30233
Registered Nurse
2978 HIGHWAY 36 W
JACKSON, GA 30233
Internal Medicine
2978 HIGHWAY 36 W
JACKSON, GA 30233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689165482, enumerated as an "organization" on May 29, 2018.

The provider is located at 2978 HIGHWAY 36 W JACKSON, GA 30233 and the phone number is (770) 504-2010.

Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.