Active NPI
Paul Richard Cannon, RPH
- Pharmacist
- Skowhegan, ME
National Provider Identifier
1447564760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3819
- Practice address
- 225 Madison Ave
Skowhegan, ME 04976-2054 - Phone
- (207) 474-2525
- Fax
- (207) 474-8987
- NPI assigned
- Jul 28, 2010
- 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 | 3819 | ME | Primary |
Addresses
Primary practice location
225 Madison Ave
Skowhegan, ME 04976-2054
Mailing address
225 Madison Ave
Skowhegan, ME 04976-2054
Phone (207) 474-2525
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3819 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1447564760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MADISON AVE",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049762054",
"telephone_number": "207-474-2525",
"fax_number": "207-474-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MADISON AVE",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049762054",
"telephone_number": "207-474-2525",
"fax_number": "207-474-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "PAUL",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-28",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "3819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.