OrganizationActive
Georgia State Prison Regional Pharmacy
NPI 1184115321 · Institutional Pharmacy · Reidsville, GA
Georgia State Prison Regional Pharmacy is a Institutional Pharmacy organization in Reidsville, GA (NPI 1184115321).
Provider details
- NPI number
- 1184115321
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Parent organization
- Georgia Department of Corrections
- Organization subpart
- Yes
- Authorized official
- Benjamin Clark, Pharmacy Director(912) 557-7960
- License
- PHH005792 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 1st Ave S
Reidsville, GA 30453-9304
Phone: (912) 557-7960
Fax: (912) 557-7975
Street-level locationGet directions
Mailing address
300 1st Ave S
Reidsville, GA 30453-9304
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2018-05-23
Frequently asked questions
- What is Georgia State Prison Regional Pharmacy's NPI number?
- Georgia State Prison Regional Pharmacy's National Provider Identifier (NPI) is 1184115321, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia State Prison Regional Pharmacy?
- Georgia State Prison Regional Pharmacy is classified in the NPPES registry as Institutional Pharmacy (Suppliers).
- Where is Georgia State Prison Regional Pharmacy located?
- Georgia State Prison Regional Pharmacy's practice location on file with NPPES is 300 1st Ave S, Reidsville, GA 30453-9304.
- What is Georgia State Prison Regional Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Georgia State Prison Regional Pharmacy is (912) 557-7960.
- Who is the authorized official for Georgia State Prison Regional Pharmacy?
- The authorized official listed on Georgia State Prison Regional Pharmacy's NPPES record is Benjamin Clark, Pharmacy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Georgia State Prison Regional Pharmacy's NPI active?
- Yes — Georgia State Prison Regional Pharmacy's NPI (1184115321) is active in the NPPES registry as of the last update on 2018-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.