Active NPI
Elizabeth C Cannon, RPH
- Pharmacist
- Abbeville, GA
National Provider Identifier
1942389366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011583
- Practice address
- 201 Main St W
Abbeville, GA 31001-4211 - Phone
- (229) 467-2221
- Fax
- (229) 467-2089
- NPI assigned
- Nov 5, 2006
- Last updated
- Jul 9, 2007
- 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 | 011583 | GA | Primary |
Addresses
Primary practice location
201 Main St W
Abbeville, GA 31001-4211
Mailing address
112 4TH St
P.O. Box 340
Rhine, GA 31077-4139
Phone (229) 385-6914
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 |
|---|---|---|---|
| 011583 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Carter Clements Jr | 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 Abbeville Discount Drugs
- Community/Retail Pharmacy
- Abbeville, GA
- NPI 1992975197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Abbeville, GA
- A Carter Clements Jr (Abbeville Discount Drugs)
- Abbeville Crossing of Journey LLC
- Abbeville Healthcare & Rehab, LLC
- Carson Brooks
- City of Abbeville (Abbeville Primary Care)
- DMC Physician Group LLC (Abbeville Primary Care)
- Global Abbeville, LLC (Glen Eagle Healthcare and Rehab)
- Ashley Handley, APRN, FNP-C
- High Cotton Homes, LLC
Sources for this page
- 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.