Cannon Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY21837 Issued in CA

Legal business name

CANNON DRUGS

Doing business as

Cannon Drugs

Practice address

1233 N Tustin Ave
Orange, CA 92867-5147

Phone

(714) 633-7364

Fax

(714) 633-1469

NPI assigned

Dec 11, 2006

Last updated

Mar 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Lau

Title

Owner

Phone

(714) 633-7364

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CANNON DRUGS Doing business as

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1528128758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N TUSTIN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675147",
            "telephone_number": "714-633-7364",
            "fax_number": "714-633-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N TUSTIN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675147",
            "telephone_number": "714-633-7364",
            "fax_number": "714-633-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-633-7364"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY21837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0573104",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA216370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANNON DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Guzman Canero
• Lemuel Canet
• Donald Kevin Cannady
• Brigette Cannata
• Caleb Cannick
• Mina Hiromi Eiko Cannon
• Leon Ricardo Cano Reyes
• Richard Cant
• Jack Anthony Canton, M.D.
• Christina Cantwell, MD

• Community/Retail Pharmacy in Orange, CA
• Providers in Orange, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.