Cannon Drugs LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CANNON DRUGS LTD

Practice address

357 Lee and Gordon Mill Rd
Chickamauga, GA 30707-1716

Phone

(706) 956-5318

NPI assigned

Sep 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather StatonNPI 1023505914

Title

Owner/Pharmacist

Phone

(706) 956-5318

Specialties & licenses 1

Addresses

Other names 1

• Cannon Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Staton, PHARMD

  • Pharmacist
  • Lafayette, GA
  • NPI 1023505914
  NPD Authorized official
• Carolyn Lott Florence, RPH

  • Pharmacist
  • Lafayette, GA
  • NPI 1043312416
  NPD
• Kristen C Hampton

  • Pharmacist
  • Chickamauga, GA
  • NPI 1851989735
  NPD (past)
• Casey Colvard Smith, PHARM.D.

  • Pharmacist
  • Chickamauga, GA
  • NPI 1316535164
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1013435338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "CHICKAMAUGA",
            "state": "GA",
            "postal_code": "307070721",
            "telephone_number": "706-956-5318",
            "fax_number": "706-956-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 LEE AND GORDON MILL RD",
            "city": "CHICKAMAUGA",
            "state": "GA",
            "postal_code": "307071716",
            "telephone_number": "706-956-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON DRUGS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "706-956-5318"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tawanda G Adeshina, MD
• Paul E Ballinger, PA
• Caroline Faith Brown, D.D.S.
• Teresa Cash
• Chickamauga City Schools
• Chickamauga Drug Store, LLC
• Jessica Marie Denton, FNP
• Jada Mackaye Erickson, DMD

• All providers in Chickamauga, GA
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.