Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corrections and Rehabilitation-Headquarters

Organization Pharmacy · NPI 1205462769

Corrections and Rehabilitation-Headquarters is a Pharmacy in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

480 Alta Road Pharmacy Bldg Rm 122
San Diego, CA 92179
Phone: (619) 661-6500
Fax: (619) 671-7588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X

Record details

NPI number1205462769
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCorrections and Rehabilitation
Authorized official Pierre James — Staff Services Manager I · (510) 780-6997
Other names Richard J Donovan Correctional Facility Pharmacy; Richard J Donovan Correctional Facility Pharmacy
NPI enumeratedMarch 17, 2020
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address480 Alta Road, Pharmacy Building Room 122, San Diego, CA 92179

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