CANNON PHARMACY MOORESVILLE - NPI 1225412562 - Pharmacy in Mooresville, NC

Q: What is Panther Health LLC's NPI number?

The NPI number for Panther Health LLC is 1225412562. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider is doing business as Cannon Pharmacy Mooresville.

Q: What is Panther Health LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

On this page

About Cannon Pharmacy Mooresville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANNON PHARMACY MOORESVILLE (NPI 1225412562) is a healthcare organization registered as a community/retail pharmacy in Mooresville, North Carolina and active in the NPI registry since July 2015. The organization lists Ryan Yanicko, Manager/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1225412562

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePANTHER HEALTH LLC

Location Address521 E PLAZA DRMooresville, NC 28115-8071

Mailing Address521 E Plaza DrMooresville, NC 28115-8071 · (704) 658-9870 · Fax (704) 658-9871

Phone(704) 658-9870

Fax(704) 658-9871

Organization SubpartNo

Authorized OfficialRyan YanickoManager/pharmacist · (704) 658-9870

Enumeration DateJuly 16, 2015

Last NPPES UpdateNovember 2, 20224 updates tracked since enumeration

NPPES CertifiedNovember 2, 2022

✔ NPI 1225412562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NC · 12647

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

521 E PLAZA DR, Mooresville, NC 28115

Open in Google Maps ↗

Other Names 1

Doing Business AsCannon Pharmacy Mooresville

Other Identifiers 2

Other2153237Pk

Medicaid1225412562NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

181 services181 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

174 services174 patients

Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

51 services51 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN WILLIAM REBHOLZ PHARM.D.

Pharmacist