Active NPI
Jonathan Angus Cannon, PHARMD
- Pharmacist
- Kennewick, WA
National Provider Identifier
1417328907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60493182
- Practice address
- 2720 S Quillan St
Kennewick, WA 99337-2404 - Phone
- (509) 586-1574
- NPI assigned
- Oct 9, 2015
- Sex
- Male
- 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 | PH60493182 | WA | Primary |
Addresses
Primary practice location
2720 S Quillan St
Kennewick, WA 99337-2404
Mailing address
707 S Quay PL
Kennewick, WA 99336-9338
Phone (801) 400-6452
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 |
|---|---|---|---|
| PH60493182 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1417328907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 S QUAY PL",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993369338",
"telephone_number": "801-400-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 S QUILLAN ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993372404",
"telephone_number": "509-586-1574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "JONATHAN",
"middle_name": "ANGUS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-09",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60493182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
- Jesse Campos
- Laura J Campos, ARNP
- Sean Campos
- Paulo J Cancado, M.D.
- Candy Mountain Counseling Services PLLC (Christopher McBride, Ph.D., LMHC)
- Leticia Cantu
- Otilia Cantu
- Canyon Chiropractic LLC (Canyon Chiropractic and Massage Therapy)
- Canyon Lakes Family Counseling (Thrive Family Counseling)
- Canyon Lakes Family Counseling Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.