Kelly Brookbank Cannan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03236862 Issued in OH

Practice address

4777 E Galbraith Rd
Cincinnati, OH 45236-2725

Phone

(513) 686-5060

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Marie Brookbank Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1326623422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 BRIARCLIFFE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452121306",
            "telephone_number": "151-353-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362725",
            "telephone_number": "513-686-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNAN",
        "first_name": "KELLY",
        "middle_name": "BROOKBANK",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03236862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BROOKBANK",
            "middle_name": "MARIE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Canida, RN
• Kanesha Tamia Canion, RN
• Aaron Canipe
• Chazman P Cannady
• Jacob Cannan
• Molly C. Cannell, ATC
• Danielle Cannon
• Garrett Ryan Cannon
• Lakida Ashley Cannon
• Mario Cannon

• Pharmacist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.