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Autry State Prison Pharmacy

Institutional Pharmacy in Pelham, GA · enumerated 2018 · authorized official Deena Gainous, Pharmacy Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831689728

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Registry record

Entity type Organization (Type 2)
Legal business name Autry State Prison Pharmacy
Parent organization Georgia Department of Corrections
Practice address 3178 Mount Zion Church Rd, Pelham, GA, 31779
Phone (229) 294-6786
Fax (229) 294-6788
Enumeration date May 16, 2018
Last updated in NPPES May 23, 2018

Taxonomy & classification

3336I0012X Institutional Pharmacy Suppliers · License PHPR007470 (GA) Primary

Authorized official

Name Deena Gainous
Title Pharmacy Director
Phone (229) 294-6786

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Autry State Prison Pharmacy located?
The practice location on file with NPPES is in Pelham, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-05-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-23.