NPIMap

Organization Active NPI

Cannon Pharmacy Salisbury, LLC

  • Long Term Care Pharmacy
  • Salisbury, NC
National Provider Identifier
1083135685
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CANNON PHARMACY SALISBURY, LLC
Practice address
1401 S. Jake Alexander Blvd
Salisbury, NC 28146-8359
Phone
(704) 918-4833
Fax
(704) 380-1678
NPI assigned
Jul 5, 2017
Organization subpart
Yes
Parent organization
CANNON HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Mr. Christopher K. HanNPI 1366736910
Title
Authorized Official
Phone
(704) 886-0840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1401 S. Jake Alexander Blvd
Salisbury, NC 28146-8359

Mailing address

140 Cabarrus Ave W Ste 26
Concord, NC 28025-5150
Phone (704) 886-0840

Other names 1

  • Cannon Pharmacy Long Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cannon Pharmacy Enhanced Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 Cabarrus Ave W
Ste 26
Concord, NC 28025
Phone (704) 918-4833

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1083135685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CABARRUS AVE W STE 26",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255150",
            "telephone_number": "704-886-0840",
            "fax_number": "704-933-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S. JAKE ALEXANDER BLVD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281468359",
            "telephone_number": "704-918-4833",
            "fax_number": "704-380-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON PHARMACY SALISBURY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANNON HEALTH, LLC",
        "enumeration_date": "2017-07-05",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "704-886-0840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.