Organization Active NPI

Cannon Drug Co

  • Community/Retail Pharmacy
  • Morganton, NC
National Provider Identifier
1598135568
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04574 Issued in NC
Legal business name
CANNON DRUG CO
Doing business as
Cannon Pharmacy
Practice address
342 E Parker Rd
Morganton, NC 28655-5111
Phone
(828) 433-5120
Fax
(828) 433-5149
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Mr. William Bruce Cannon, RPHNPI 1467472597
Title
Pharmacist, President
Phone
(828) 433-5120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 04574 NC Primary

Addresses

Primary practice location

342 E Parker Rd
Morganton, NC 28655-5111

Mailing address

342 E Parker Rd
Morganton, NC 28655-5111
Phone (828) 433-5120

Other identifiers 1

IdentifierTypeStateIssuer
1285732412MedicaidNC

Other names 1

  • Cannon Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

342 E Parker Rd
Morganton, NC 28655
Phone (828) 433-5120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1598135568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555111",
            "telephone_number": "828-433-5120",
            "fax_number": "828-433-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555111",
            "telephone_number": "828-433-5120",
            "fax_number": "828-433-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PHARMACIST, PRESIDENT",
        "authorized_official_telephone_number": "828-433-5120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285732412",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.