OrganizationActive
Pulaski State Prison Regional Pharmacy
NPI 1902397995 · Institutional Pharmacy · Hawkinsville, GA
Pulaski State Prison Regional Pharmacy is a Institutional Pharmacy organization in Hawkinsville, GA (NPI 1902397995).
Provider details
- NPI number
- 1902397995
- Entity type
- Organization
- Primary specialty
- Institutional PharmacySuppliers
- Parent organization
- Georgia Department of Corrections
- Organization subpart
- Yes
- Authorized official
- Randy Goodroe, Pharmacy Director(478) 783-6097
- License
- PHPR007792 (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
373 Upper River Rd
Hawkinsville, GA 31036-8898
Phone: (478) 783-6097
Fax: (478) 783-6252
Street-level locationGet directions
Mailing address
373 Upper River Rd
Hawkinsville, GA 31036-8898
Registry dates
- Enumerated
- 2018-05-24
- Last updated
- 2018-05-24
Frequently asked questions
- What is Pulaski State Prison Regional Pharmacy's NPI number?
- Pulaski State Prison Regional Pharmacy's National Provider Identifier (NPI) is 1902397995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pulaski State Prison Regional Pharmacy?
- Pulaski State Prison Regional Pharmacy is classified in the NPPES registry as Institutional Pharmacy (Suppliers).
- Where is Pulaski State Prison Regional Pharmacy located?
- Pulaski State Prison Regional Pharmacy's practice location on file with NPPES is 373 Upper River Rd, Hawkinsville, GA 31036-8898.
- What is Pulaski State Prison Regional Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Pulaski State Prison Regional Pharmacy is (478) 783-6097.
- Who is the authorized official for Pulaski State Prison Regional Pharmacy?
- The authorized official listed on Pulaski State Prison Regional Pharmacy's NPPES record is Randy Goodroe, Pharmacy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pulaski State Prison Regional Pharmacy's NPI active?
- Yes — Pulaski State Prison Regional Pharmacy's NPI (1902397995) is active in the NPPES registry as of the last update on 2018-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.