Charlease Deann Cannon

Primary specialty

PharmacistTaxonomy code 183500000X

License

0000043516 Issued in TN

Practice address

1100 S Dupree Ave
Brownsville, TN 38012-3234

Phone

(731) 772-6283

NPI assigned

Apr 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1700469749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 DANCYVILLE RD",
            "city": "STANTON",
            "state": "TN",
            "postal_code": "380694664",
            "telephone_number": "901-491-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S DUPREE AVE",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380123234",
            "telephone_number": "731-772-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CHARLEASE",
        "middle_name": "DEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000043516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brownsville Hospital Corporation
• Brownsville Medical Clinic, P.a.
• Henrietta Butler-Shaw
• Anna Byler
• Robert Franklin Callery, MSN, FNP-C
• Derek Cannon
• Clarey R. Dowling, MD, P.C.
• SH'Voyne E Claybon
• Taran Coleman, FNP-C
• Barbara K Collier, FNP

• Pharmacist in Brownsville, TN
• Providers in Brownsville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.