Active NPI
Elizabeth Fox Cannon, PHARMD
- Pharmacist
- North Myrtle Beach, SC
National Provider Identifier
1174079511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36809
- Practice address
- 601 Highway 17 N
North Myrtle Beach, SC 29582-2905 - Phone
- (843) 663-1459
- NPI assigned
- Aug 26, 2016
- 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 | 36809 | SC | Primary |
Addresses
Primary practice location
601 Highway 17 N
North Myrtle Beach, SC 29582-2905
Mailing address
1500 Highway 915
Loris, SC 29569-6261
Phone (843) 503-9493
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 |
|---|---|---|---|
| 36809 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1174079511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 HIGHWAY 915",
"city": "LORIS",
"state": "SC",
"postal_code": "295696261",
"telephone_number": "843-503-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 17 N",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822905",
"telephone_number": "843-663-1459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "ELIZABETH",
"middle_name": "FOX",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Myrtle Beach, SC
- Katie Brownschidle, DPT
- Building the Way Counseling and Consulting LLC
- Emily Burkhart, M.S. CCC-SLP
- Alexis Burnell
- Brittany Cannon
- Cape Fear Orthotics & Prosthetics, Inc. (Cape Fear O&P)
- Carolinas Companionship and Care LLC (Seniors Helping Seniors - Grand Strand & Brunswick Shores)
- Alice Ruth Carter, APRN
- Robert Carter Jr., LMFT
- Sara L Cato, LPC, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.