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

Q: What is Lee Arrendale State Prison Pharmacy's NPI number?

The NPI number for Lee Arrendale State Prison Pharmacy is 1851882013. It was assigned to this organization in the NPPES registry on May 23, 2018.

Q: What is Lee Arrendale State Prison Pharmacy's specialty?

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

Active since May 23, 2018CLIA 11D2266599 · Waiver

2023A GAINESVILLE HWY, ALTO, GA 30510(706) 776-0661(706) 776-4982 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lee Arrendale State Prison Pharmacy NPPES

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

LEE ARRENDALE STATE PRISON PHARMACY (NPI 1851882013) is a healthcare organization registered as an institutional pharmacy in Alto, Georgia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Tom Poole, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1851882013

Entity TypeOrganization

Primary Taxonomy3336I0012X

Legal Business NameLEE ARRENDALE STATE PRISON PHARMACY

Location Address2023A GAINESVILLE HWYAlto, GA 30510-4435

Mailing AddressPo Box 709Alto, GA 30510-0709 · (706) 776-0661 · Fax (706) 776-4982

Phone(706) 776-0661

Fax(706) 776-4982

Organization SubpartYesParent: Georgia Department Of Corrections

Authorized OfficialTom PoolePharmacy Director · (706) 776-0661

Enumeration DateMay 23, 2018

✔ NPI 1851882013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers

Taxonomy Code3336I0012X

License✔ Licensed in GA · PHPR006157

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.

2023A GAINESVILLE HWY, Alto, GA 30510

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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 11D2266599

Lee Arrendale State Prison · Alto, GA

Active · expires Aug 11, 2026

CLIA Number11D2266599

Laboratory TypePrison

Certificate Effective DateAugust 12, 2024

Certificate Expiration DateAugust 11, 2026

Laboratory DirectorCindy Sandborn

Laboratory Phone(678) 470-3977

Laboratory LocationLee Arrendale State Prison2023 Gainesville Highway S, Alto, GA 30510

CLIA data matches this NPI record on: Name

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 Lee Arrendale State Prison Pharmacy's NPI number?

The NPI number for Lee Arrendale State Prison Pharmacy is 1851882013. It was assigned to this organization in the NPPES registry on May 23, 2018.

Where is Lee Arrendale State Prison Pharmacy located?

Lee Arrendale State Prison Pharmacy is located at 2023A Gainesville Hwy, Alto, GA 30510. The listed phone number is (706) 776-0661.

What is Lee Arrendale State Prison Pharmacy's specialty?

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

Does Lee Arrendale State Prison Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2266599) is associated with this NPI, valid through August 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lee Arrendale State Prison Pharmacy was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.