LEE ARRENDALE STATE PRISON PHARMACY
NPI 1851882013
Pharmacy - Institutional Pharmacy in Alto, GA

NPI Status: Active since May 23, 2018

Contact Information

2023A GAINESVILLE HWY
ALTO, GA
ZIP 30510
Phone: (706) 776-0661
Fax: (706) 776-4982

Get Directions Write a Review

  • Organization
  • Pharmacy
  • Institutional Pharmacy
  • CLIA Number: 11D2266599
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 08-11-2026

About LEE ARRENDALE STATE PRISON PHARMACY

This page provides the complete NPI Profile along with additional information for Lee Arrendale State Prison Pharmacy, a provider established in Alto, Georgia operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1851882013 assigned on May 2018. The practitioner's primary taxonomy code is 3336I0012X with license number PHPR006157 (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 Tom Poole Rph (Pharmacy Director)

NPI
1851882013
Provider Name
LEE ARRENDALE STATE PRISON PHARMACY
Entity Type
Organization
Location Address
2023A GAINESVILLE HWY ALTO, GA 30510
Location Phone
(706) 776-0661
Location Fax
(706) 776-4982
Mailing Address
PO BOX 709 ALTO, GA 30510
Mailing Phone
(706) 776-0661
Mailing Fax
(706) 776-4982
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-23-2018
Last Update Date
05-23-2018
Code Navigator

Location Map

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.
PHPR006157
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

TOM POOLE RPH

Authorized Official Title
PHARMACY DIRECTOR
Authorized Official Phone
(706) 776-0661

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
11D2266599
Facility Type
Prison
Certificate Effective Date
August 12, 2024
Certificate Expiration Date
August 11, 2026
Laboratory Director
ALLISON WALL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lee Arrendale State 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.

Reviews for LEE ARRENDALE STATE PRISON PHARMACY

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1851882013, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 0 + 1 + 1 + 6 + 8 + 4 + 0 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1851882013.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851882013, enumerated as an "organization" on May 23, 2018.

The provider is located at 2023A GAINESVILLE HWY ALTO, GA 30510 and the phone number is (706) 776-0661.

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