Active NPI
Sheryl P Cannington, R. PH.
- Pharmacist
- Donalsonville, GA
National Provider Identifier
1932532918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11156
- Practice address
- 409 W 3Rd St
Donalsonville, GA 39845-1511 - Phone
- (229) 524-2596
- NPI assigned
- Aug 14, 2013
- Last updated
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 11156 | GA | Primary |
Addresses
Primary practice location
409 W 3Rd St
Donalsonville, GA 39845-1511
Mailing address
2490 Cannington Rd
Iron City, GA 39859-3615
Phone (229) 774-2532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11156 | Other | GA | LICENSE |
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 |
|---|---|---|---|
| 11156 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freds Stores of Tennessee Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Freds Pharmacy 3648
- Community/Retail Pharmacy
- Greenville, MS
- NPI 1093969016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376438400000",
"number": "1932532918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 CANNINGTON RD",
"city": "IRON CITY",
"state": "GA",
"postal_code": "398593615",
"telephone_number": "229-774-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W 3RD ST",
"city": "DONALSONVILLE",
"state": "GA",
"postal_code": "398451511",
"telephone_number": "229-524-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNINGTON",
"first_name": "SHERYL",
"middle_name": "P",
"credential": "R. PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2013-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "11156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "11156",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Donalsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.