Pulaski State Prison Regional Pharmacy
NPI 1902397995ActiveOrganization· Pharmacy, Institutional Pharmacy· Hawkinsville, GA
Pharmacy, Institutional Pharmacy in Hawkinsville, Georgia, registered in NPPES in May 2018, part of Georgia Department of Corrections. The authorized official on file is Randy Goodroe, RPH, Pharmacy Director.
Overview
| NPI | 1902397995 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Department of Corrections |
| NPI issued | May 24, 2018 |
| Last updated in NPPES | May 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Institutional Pharmacy Primary | 3336I0012X | PHPR007792 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|