Cannon Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04574 Issued in NC

Legal business name

CANNON DRUG CO

Doing business as

CANNON PHARMACY

Practice address

342 E Parker Rd
Morganton, NC 28655-5111

Phone

(828) 433-5120

Fax

(828) 433-5149

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

William Bruce Cannon, RPH

Title

President

Phone

(828) 433-5120

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CANNON PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Rock Drug of Valdese LLC

  • Community/Retail Pharmacy
  • Valdese, NC
  • NPI 1962584755

  Member Of

  NPD member

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1285732412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555111",
            "telephone_number": "828-433-5120",
            "fax_number": "828-433-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555111",
            "telephone_number": "828-433-5120",
            "fax_number": "828-433-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-433-5120",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3423174",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125369",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANNON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aida Camanguian, AGACNP-BC
• Amy M Camp, RN
• Teresa Jean Campanile, MD
• Caroline Crawford Campbell
• Christine Elizabeth Campbell, MSOT
• Cannon Drug Co
• James Matthew Cannon, DO
• Jayme McKenzie Cannon
• Sidney Dupree Cannon, PA-C
• William B. Cannon, RPH

• Community/Retail Pharmacy in Morganton, NC
• Providers in Morganton, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.