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FOLSOM STATE PRISON
NPI 1821621764
Pharmacy in Represa, CA

Active since February 19, 2020CLIA 05D1083620 · Waiver
300 PRISON ROAD, REPRESA, CA 95671(916) 985-2561(916) 608-3112 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, Feb 19, 2020 (2 updates tracked since 2020).

About Folsom State Prison NPPES

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

FOLSOM STATE PRISON (NPI 1821621764) is a healthcare organization registered as a pharmacy in Represa, California and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Pierre Caesare Saucier James, Staff Services Manager I, as its authorized official.

NPPES Registry Identity

NPI1821621764
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCORRECTIONS AND REHABILITATION-HEADQUARTERS
Location Address300 PRISON ROADRepresa, CA 95671-4071
Mailing Address300 Prison RoadRepresa, CA 95671-4071 · (916) 985-2561 · Fax (916) 608-3112
Phone(916) 985-2561
Fax(916) 608-3112
Organization SubpartYesParent: Corrections & Rehabilitation
Authorized OfficialPierre Caesare Saucier JamesStaff Services Manager I · (510) 780-6997
Enumeration DateFebruary 19, 2020
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1821621764 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.
300 PRISON ROAD, Represa, CA 95671
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Other Names 1

Doing Business AsFolsom 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 05D1083620

Folsom State Prison · Represa, CA
Active · expires Jul 8, 2028
CLIA Number05D1083620
Laboratory TypePrison
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorDr. Oliver Lau
Laboratory Phone(916) 985-2561
Laboratory LocationFolsom State Prison300 Prison Road (fsp-Lab-Chs) Central Health Services Bldg, 2nd Fl, Represa, CA 95671
CLIA data matches this NPI record on: Address Name 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.

SARA BAXTER
Psychologist
300 PRISON ROAD
REPRESA, CA 95671
Sacramento County (916) 985-2561

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 1821621764. It was assigned to this organization in the NPPES registry on February 19, 2020. The provider is doing business as Folsom State Prison.

Where is Corrections And Rehabilitation-Headquarters located?

Corrections And Rehabilitation-Headquarters is located at 300 Prison Road, Represa, CA 95671. The listed phone number is (916) 985-2561.

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 05D1083620) is associated with this NPI, valid through July 8, 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.