Active NPI
Waymon M Cannon, PHARM
- Pharmacist
- Cochran, GA
National Provider Identifier
1386717692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011472
- Practice address
- 332 Mac Thompson Road
Cochran, GA 31014 - Phone
- (478) 934-4299
- Fax
- (478) 274-0053
- NPI assigned
- Nov 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 011472 | GA | Primary |
Addresses
Primary practice location
332 Mac Thompson Road
Cochran, GA 31014
Mailing address
332 Mac Thompson Road
Cochran, GA 31014
Phone (478) 934-4299
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 |
|---|---|---|---|
| 011472 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386717692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 MAC THOMPSON ROAD",
"city": "COCHRAN",
"state": "GA",
"postal_code": "31014",
"telephone_number": "478-934-4299",
"fax_number": "478-274-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 MAC THOMPSON ROAD",
"city": "COCHRAN",
"state": "GA",
"postal_code": "31014",
"telephone_number": "478-934-4299",
"fax_number": "478-274-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "WAYMON",
"middle_name": "M",
"name_prefix": "Prof.",
"credential": "PHARM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "011472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cochran, GA
- Kevin T Brown, DO
- Bryant Health and Rehabilitation Center, Inc.
- Bryant Nursing Center
- Bryant Post Acute LLC
- Katie Tessa Burnham
- Careconnect Health, Inc. (CareConnect Family Practice)
- Gwendolyn J Carr, NP
- Central Georgia Behavioral Management LLC
- Cochran Family Healthcare
- Cochran SNF Operator LLC (Bryant Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.