PROF. WAYMON M CANNON (NPI# 1386717692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386717692 |
| Entity Type | Individual |
| Full Name | PROF. WAYMON M CANNON |
| Credential | PHARM |
| Practice Address |
332 Mac Thompson Road Cochran GA 31014 |
| Practice Telephone | 4789344299 |
| Practice Fax Number | 4782740053 |
| Mailing Telephone | 4789344299 |
| Mailing Fax Number | 4782740053 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 011472 | GA | Pharmacy Service Providers |
| Street Address |
332 MAC THOMPSON ROAD |
| City | COCHRAN |
| State | GA |
| Zip Code | 31014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265830186 | Bryant Nursing Center | Skilled Nursing Facility | 601 Se 6th Street, Cochran, GA 31014 | 2014-12-09 |
| 1205241395 | Southland Cochran Emergency Medical Services, LLC | Emergency Medicine | 145 Peacock St., Cocharan, GA 31014 | 2014-06-26 |
| 1952551541 | Dr Dudley B Christie Jr | Optometrist | 145 Second St, Cochran, GA 31014 | 2008-09-19 |
| 1568670487 | David Herrington Stewart | Physical Therapist | 136 West Dykes Street, Cochran, GA 31014 | 2007-05-21 |
| 1649485137 | Jennifer C. Dennis | Occupational Therapy Assistant | Rt. 3 Box 2110 Country Club Rd., Cochran, GA 31014 | 2007-05-10 |
| 1013056571 | Chad Eric Smith | Speech-Language Pathologist | 1125 Ga Hwy 126, Cochran, GA 31014 | 2007-02-05 |
| 1851444103 | Covenant Chiropractic Center PC | Chiropractor | 169 W Dykes Street, Cochran, GA 31014 | 2007-01-19 |
| 1033273081 | Porter Pharmacy & Gifts, Inc. | Pharmacy | 129 N. 2nd Street, Cochran, GA 31014 | 2006-12-21 |
| 1710040951 | Nikki Dubois | Speech-Language Pathologist | 165 Race Track Dr., Cochran, GA 31014 | 2006-12-19 |
| 1033270194 | Debbie Martin | Nurse Practitioner | 152 N. 8th Street, Cochran, GA 31014 | 2006-12-13 |
| Find all providers in zip 31014 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235545096 | Chad Brown | Pharmacist | 211 Country Club Cir, Cochran, GA 31014-2817 | 2014-07-01 |
| 1639165921 | Robert Alan Dykes | Pharmacist | 129 N 2nd St, Cochran, GA 31014-8742 | 2005-09-22 |
| 1255932125 | Julia Eden Brown | Pharmacist | 366 Ga Highway 26 E, Cochran, GA 31014-6049 | 2020-11-05 |
| 1053950212 | Kari Coody | Pharmacist | 145 E Peacock St, Cochran, GA 31014-7846 | 2020-01-04 |
| 1649745571 | Trenton Mcdaniel | Pharmacist | 195 E Dykes St, Cochran, GA 31014-6514 | 2018-10-08 |
| 1598036634 | Elizabeth Edge Gray | Pharmacist | 102 S 2nd St, Cochran, GA 31014-6805 | 2012-01-20 |
| 1235419763 | Lewis Glenn Jones | Pharmacist | 102 S 2nd St, Cochran, GA 31014-6805 | 2011-08-29 |
| 1548256514 | Tommy P Porter | Pharmacist | 129 N 2nd St, Cochran, GA 31014-8742 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538103 | Agatha Nonye Okoye | Pharmacist | 5300 Bridle Point Pkwy, Snellville, GA 30039-2715 | 2020-11-05 |
| 1861093155 | Mohamed J Bah | Pharmacist | 2965 Olivine Dr, Dacula, GA 30019-7646 | 2020-11-04 |
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1720689219 | Olubunmi Adeniyi | Pharmacist | 524 Serene Waters Trl, Jonesboro, GA 30236-5495 | 2020-11-03 |
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1063013613 | John Ellis Iv | Pharmacist | 135 Rudders Xing, Newnan, GA 30263-7032 | 2020-11-02 |
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1417557000 | Birtukan Tsegaye | Pharmacist | 2715 Henderson Rd, Tucker, GA 30084-2432 | 2020-10-31 |
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| 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.