CANNON PHARMACY SALISBURY, LLC (NPI# 1083135685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083135685 |
| Entity Type | Organization |
| Organization Name | CANNON PHARMACY SALISBURY, LLC |
| Other Organization Name | CANNON PHARMACY LONG TERM CARE |
| Practice Address |
1401 S. Jake Alexander Blvd Salisbury NC 28146-8359 |
| Mailing Address |
140 Cabarrus Ave W Ste 26 Concord NC 28025-5150 |
| Practice Telephone | 7049184833 |
| Practice Fax Number | 7043801678 |
| Mailing Telephone | 7048860840 |
| Mailing Fax Number | 7049336161 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | MR. CHRISTOPHER K. HAN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7048860840 |
| Is Organization Subpart | Y |
| Parent Organization Name | CANNON HEALTH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Cannon Pharmacy Long Term Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 Cabarrus Ave W Ste 26, Concord, NC 280255150 | 7049184833 | 7043801678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811469372 | Cannon Pharmacy Salisbury, LLC | Pharmacy | 1401 S. Jake Alexander Blvd, Salisbury, NC 28146-8359 | 2018-12-21 |
| Street Address |
1401 S. JAKE ALEXANDER BLVD |
| City | SALISBURY |
| State | NC |
| Zip Code | 28146-8359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811469372 | Cannon Pharmacy Salisbury, LLC | Pharmacy | 1401 S. Jake Alexander Blvd, Salisbury, NC 28146-8359 | 2018-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071551 | Rita Faye George | Technician | 306 Brookfield Circle, Salisbury, NC 28146 | 2019-09-09 |
| 1417166224 | Tina Wyatt | Counselor | 1121 Old Concord Rd Ste 23, Salisbury, NC 28146 | 2007-05-21 |
| 1730230889 | Alan Ray Lyerly | Dentist | 5980 Us Hwy# 52, Salisbury, NC 28146 | 2007-01-16 |
| 1740331800 | Matthew Scott Lyerly | Dentist | 5980 Us Hwy. # 52, Salisbury, NC 28146 | 2007-01-16 |
| 1376624403 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 223 Faith Road, Space I, Salisbury, NC 28146 | 2006-10-17 |
| 1811473028 | Heather Marie Amaral | Nurse Practitioner | 111 S Salisbury Gq Ave, Salisbury, NC 28146 | 2018-07-11 |
| 1417182114 | Norman Deon Hough | Registered Nurse | 6770 Faith Rd, Salisbury, NC 28146-0379 | 2009-05-25 |
| 1770911893 | Travis Alligood | Massage Therapist | 2125 Old Concord Rd, Salisbury, NC 28146-1328 | 2013-10-29 |
| 1013055458 | Rowan Vocational Opportunities | Day Training, Developmentally Disabled Services | 2728 Old Concord Rd, Salisbury, NC 28146-1338 | 2007-02-01 |
| 1669698197 | Rowan Vocational Opportunities | Day Training, Developmentally Disabled Services | 2728 Old Concord Rd, Salisbury, NC 28146-1338 | 2007-04-17 |
| Find all providers in zip 28146 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1740375237 | Asco Healthcare, LLC | Pharmacy | 119 W Naylor Mill Rd, Suite 7, Salisbury, MD 21801 | 2006-10-03 |
| 1861496812 | W S Associates Inc | Pharmacy | 404 N Fruitland Blvd, Salisbury, MD 21801-7261 | 2005-06-08 |
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| 1356812432 | Polaris Pharmacy Services of North Carolina, LLC | Pharmacy | 3300 Monroe Rd Unit E&f, Charlotte, NC 28205-7853 | 2018-12-16 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.