CANNON PHARMACY SEDGEFIELD
NPI 1396128203
Pharmacy - Community/Retail Pharmacy in Charlotte, NC

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

Active since July 09, 2015

2334 SOUTH BLVD, CHARLOTTE, NC 28203(704) 523-8607 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Cannon Pharmacy Sedgefield NPPES

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

CANNON PHARMACY SEDGEFIELD (NPI 1396128203) is a healthcare organization registered as a community/retail pharmacy in Charlotte, North Carolina and active in the NPI registry since July 2015. The organization lists Chris Han, Owner, as its authorized official.

NPPES Registry Identity

NPI1396128203

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLLHAN LLC

Location Address2334 SOUTH BLVDCharlotte, NC 28203-5008

Mailing Address2334 South BlvdCharlotte, NC 28203-5008

Phone(704) 523-8607

Organization SubpartNo

Authorized OfficialChris HanOwner · (704) 523-8607

Enumeration DateJuly 9, 2015

Last NPPES UpdateMarch 8, 2023

NPPES CertifiedMarch 8, 2023

✔ NPI 1396128203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NC · 12649

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

2334 SOUTH BLVD, Charlotte, NC 28203

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Other Names 1

Doing Business AsCannon Pharmacy Sedgefield

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 ›

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 34D2006827

Cannon Pharmacy · Charlotte, NC

Expired · Apr 29, 2026

CLIA Number34D2006827

Laboratory TypePharmacy

Certificate Effective DateApril 30, 2024

Certificate Expiration DateApril 29, 2026

Laboratory DirectorHelen Mahairas

Laboratory Phone(704) 938-5237

Laboratory LocationCannon Pharmacy2334 South Blvd, Charlotte, NC 28203

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034

This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.

3,072 services205 patients

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.

112 services111 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

86 services86 patients

Fee covid-19 vac 13 res 0124A

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

70 services70 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

26 services26 patients

Adm sarscov2 30mcg/0.3ml 3rd 0003A

This refers to the administration of a 30 microgram dose of a SARS-CoV-2 vaccine in a 0.3 milliliter volume. It's the third dose, often referred to as a booster shot, which helps to strengthen your body's immune response against the COVID-19 virus.

25 services25 patients

Medical Equipment Supplier Medicare DMEPOS 25

Medicare supplier enrollment and the product categories Cannon Pharmacy Sedgefield carries, from the Medicare DMEPOS supplier directory.

Cannon Pharmacy Sedgefield

DMEPOS supplier · Charlotte, NCOperated by Llhan LLC

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Does not accept Medicare assignment

Cannon Pharmacy Sedgefield has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)34357958

Medicare Participant SinceSeptember 18, 2015

Supplier Location2334 South BlvdCharlotte, NC 28203

Phone(704) 523-8608

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

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

MRS. HELEN MAHAIRAS MOFFAT RPH

Pharmacist