Active NPI
Abreah E Cannon, PHARMD
- Pharmacist
- Madison, AL
National Provider Identifier
1093450520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20561
- Practice address
- 8000 Madison Blvd
Madison, AL 35758-2031 - Phone
- (256) 461-6903
- NPI assigned
- Apr 29, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20561 | AL | Primary |
Addresses
Primary practice location
8000 Madison Blvd
Madison, AL 35758-2031
Mailing address
1130 Nance Rd
Madison, AL 35757-7716
Phone (563) 370-9194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20561 | Other | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 20561 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1093450520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 NANCE RD",
"city": "MADISON",
"state": "AL",
"postal_code": "357577716",
"telephone_number": "563-370-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 MADISON BLVD",
"city": "MADISON",
"state": "AL",
"postal_code": "357582031",
"telephone_number": "256-461-6903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "ABREAH",
"middle_name": "E",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-29",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "20561",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.