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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES CANNON
NPI 1285232090
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Waycross, GA

Active since October 14, 2020
1606 MEMORIAL DR, WAYCROSS, GA 31501(912) 287-2277 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Cannon NPPES

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

CHARLES CANNON (NPI 1285232090) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Waycross, Georgia, licensed in Georgia (025057) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1285232090
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameCHARLES CANNON
Location Address1606 MEMORIAL DRWaycross, GA 31501-1949
Mailing Address1606 Memorial DrWaycross, GA 31501-1949 · (912) 287-2277
Phone(912) 287-2277
Sole ProprietorNo
Enumeration DateOctober 14, 2020
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1285232090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in GA · 025057
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1606 MEMORIAL DR, Waycross, GA 31501
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Other Providers at the Same Location NPPES 4

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

DR. JASON TED WADE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1606 MEMORIAL DR
WAYCROSS, GA 31501
Ware County (912) 287-2277
MATTHEW REED
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1606 MEMORIAL DR
WAYCROSS, GA 31501
Ware County (912) 287-2277
LAURA MARIE WYATT
Pharmacist
1606 MEMORIAL DR
WAYCROSS, GA 31501
Ware County (912) 287-2277
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
1606 MEMORIAL DR
WAYCROSS, GA 31501
Ware County (912) 287-2277

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 Charles Cannon's NPI number?

The NPI number for Charles Cannon is 1285232090. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Charles Cannon located?

Charles Cannon practices at 1606 Memorial Dr, Waycross, GA 31501. The listed phone number is (912) 287-2277.

What is Charles Cannon's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Charles Cannon was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.