AUGUSTA STATE MEDICAL PRISON
NPI 1902397151
Pharmacy - Institutional Pharmacy in Grovetown, GA
NPI Status: Active since May 23, 2018
Contact Information
3001 GORDON HWY
GROVETOWN, GA
ZIP 30813
Phone: (706) 855-4744
Fax: (706) 869-7990
- Organization
- Pharmacy
- Institutional Pharmacy
- CLIA Number: 11D1032456
- CLIA Cert. Type: Prison
- CLIA Exp. Date: 06-30-2026
About AUGUSTA STATE MEDICAL PRISON
This page provides the complete NPI Profile along with additional information for Augusta State Medical Prison, a provider established in Grovetown, Georgia operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1902397151 assigned on May 2018. The practitioner's primary taxonomy code is 3336I0012X with license number PHH006083 (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. Elaine Reifinger Pharmd (Pharmacy Director)
- NPI
- 1902397151
- Provider Name
- AUGUSTA STATE MEDICAL PRISON
- Entity Type
- Organization
- Location Address
- 3001 GORDON HWY GROVETOWN, GA 30813
- Location Phone
- (706) 855-4744
- Location Fax
- (706) 869-7990
- Mailing Address
- 3001 GORDON HWY GROVETOWN, GA 30813
- Mailing Phone
- (706) 855-4744
- Mailing Fax
- (706) 869-7990
- 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.
- PHH006083
- 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.
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
- 11D1032456
- Facility Type
- Prison
- Certificate Effective Date
- July 01, 2024
- Certificate Expiration Date
- June 30, 2026
- Laboratory Director
- LEE LAROWE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Augusta State Medical Prison 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 1902397151, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
GROVETOWN, GA 30813
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902397151, enumerated as an "organization" on May 23, 2018.
The provider is located at 3001 GORDON HWY GROVETOWN, GA 30813 and the phone number is (706) 855-4744.
Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.
