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

Q: What is Georgia Diagnostic & Classification Prison Pharmacy's specialty?

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

Active since May 29, 2018CLIA 11D2259240 · Waiver

2978 HIGHWAY 36 W, JACKSON, GA 30233(770) 504-2010(770) 504-2256 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Georgia Diagnostic & Classification Prison Pharmacy NPPES

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

GEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY (NPI 1689165482) is a healthcare organization registered as an institutional pharmacy in Jackson, Georgia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Cynthia Abrams, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1689165482

Entity TypeOrganization

Primary Taxonomy3336I0012X

Legal Business NameGEORGIA DIAGNOSTIC & CLASSIFICATION PRISON PHARMACY

Location Address2978 HIGHWAY 36 WJackson, GA 30233-6150

Mailing AddressPo Box 3877Jackson, GA 30233-0078

Phone(770) 504-2010

Fax(770) 504-2256

Organization SubpartYesParent: Georgia Department Of Corrections

Authorized OfficialCynthia AbramsPharmacy Director · (770) 504-2010

Enumeration DateMay 29, 2018

✔ NPI 1689165482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers

Taxonomy Code3336I0012X

License✔ Licensed in GA · PHPR003513

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.

2978 HIGHWAY 36 W, Jackson, GA 30233

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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 11D2259240

Georgia Diagnostic Classification Prison · Jackson, GA

Active · expires May 3, 2028

CLIA Number11D2259240

Laboratory TypePrison

Certificate Effective DateMay 4, 2026

Certificate Expiration DateMay 3, 2028

Laboratory DirectorShirley Eugene

Laboratory Phone(678) 470-3977

Laboratory LocationGeorgia Diagnostic Classification Prison2978 Hwy 36 West, Jackson, GA 30233

CLIA data matches this NPI record on: Address Name

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

Other Providers at the Same Location NPPES 6

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

NOEL URIAH NELSON FNP-C

Registered Nurse