Elizabeth C Cannon, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

011583 Issued in GA

Practice address

201 Main St W
Abbeville, GA 31001-4211

Phone

(229) 467-2221

Fax

(229) 467-2089

NPI assigned

Nov 5, 2006

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Carter Clements Jr

  • Community/Retail Pharmacy
  • Abbeville, GA
  • NPI 1992975197
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942389366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 4TH ST",
            "address_2": "P.O. BOX 340",
            "city": "RHINE",
            "state": "GA",
            "postal_code": "310774139",
            "telephone_number": "229-385-6914",
            "fax_number": "229-467-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN ST W",
            "city": "ABBEVILLE",
            "state": "GA",
            "postal_code": "310014211",
            "telephone_number": "229-467-2221",
            "fax_number": "229-467-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "011583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00021007A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1104126",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Carter Clements Jr
• Abbeville Crossing of Journey LLC
• Abbeville Healthcare & Rehab, LLC
• Carson Brooks
• City of Abbeville
• DMC Physician Group LLC
• Global Abbeville, LLC
• Ashley Handley, APRN, FNP-C
• High Cotton Homes, LLC

• All providers in Abbeville, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.