Ryan Canner, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202217005 Issued in VA

Practice address

112 S Main St
Amherst, VA 24521-3201

Phone

(434) 946-2702

Fax

(434) 946-0025

NPI assigned

Dec 1, 2020

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2020.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1871198580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245213201",
            "telephone_number": "434-946-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245213201",
            "telephone_number": "434-946-2702",
            "fax_number": "434-946-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNER",
        "first_name": "RYAN",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202217005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristle Me Chelle Brown, LCAS
• Christen Joy Brunstetter, CCC-SLP
• Kenneth Gordon Bunch
• California Lenee Caldwell, RN, MSN, PMHNP-BC
• Judith P Campbell, LPC, LMFT, LSATP
• Michael Cargill
• Centra Health Inc
• Centra Medical Group, LLC
• Centra Medical Group, LLC
• Centra Post Acute Mental Health Services LLC

• All providers in Amherst, VA
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.