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 1376190876

Corrections and Rehabilitation-Headquarters is a Pharmacy in Corcoran, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

4001 King Ave
Corcoran, CA 93212
Phone: (559) 992-8800
Fax: (559) 992-7381
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X

Record details

NPI number1376190876
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCorrections and Rehabilitation
Authorized official Pierre James — Staff Services Manager I · (510) 780-6997
Other names Corcoran State Prison Hospital Pharmacy
NPI enumeratedAugust 20, 2019
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address4001 King Avenue, Corcoran, CA 93212

Other providers in Corcoran