Active NPI
Jacquelyn Canning, PHARM.D.
- Psychiatric Pharmacist
- Albany, NY
National Provider Identifier
1083846729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 47486
- Practice address
- 106 New Scotland Ave
Albany, NY 12208-3425 - Phone
- (518) 694-7167
- NPI assigned
- Aug 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 2010027139 | MO | |
| Psychiatric Pharmacist | 1835P1300X | 47486 | TX | Primary |
Addresses
Primary practice location
106 New Scotland Ave
Albany, NY 12208-3425
Mailing address
106 New Scotland Ave
Albany, NY 12208-3425
Phone (518) 694-7167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010027139 | MO | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1083846729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083425",
"telephone_number": "518-694-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083425",
"telephone_number": "518-694-7167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNING",
"first_name": "JACQUELYN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-13",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "MO",
"license": "2010027139",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "TX",
"license": "47486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.