CANNON PHARMACY MOORESVILLE DME
NPI 1164875340
Durable Medical Equipment & Medical Supplies - Customized Equipment in Mooresville, NC
About Cannon Pharmacy Mooresville Dme NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANNON PHARMACY MOORESVILLE DME (NPI 1164875340) is a healthcare organization registered as a customized equipment in Mooresville, North Carolina and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Ryan Yanicko, Pharmacist Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2006936
Cannon Pharmacy Mooresville · Mooresville, NCOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Panther Health, LLC's NPI number?
The NPI number for Panther Health, LLC is 1164875340. It was assigned to this organization in the NPPES registry on July 22, 2016. The provider is doing business as Cannon Pharmacy Mooresville Dme.
Where is Panther Health, LLC located?
Panther Health, LLC is located at 521 E Plaza Dr, Mooresville, NC 28115. The listed phone number is (704) 658-9870.
What is Panther Health, LLC's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.
Does Panther Health, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2006936) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Panther Health, LLC was last updated on November 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.