DR. ANDREW R CANNING PHARMD
NPI 1417390634
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Grand Ronde, OR

Q: What is Andrew Canning's NPI number?

The NPI number for Andrew Canning is 1417390634. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Q: What is Andrew Canning's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Canning was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since April 08, 2013

9605 GRAND RONDE RD, GRAND RONDE, OR 97347(503) 879-2342(503) 879-2030 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2019, Apr 10, 2018 (2 updates tracked since 2018).

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About Dr. Andrew R Canning Pharmd NPPES

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

DR. ANDREW R CANNING PHARMD (NPI 1417390634) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Grand Ronde, Oregon, licensed in Oregon (RPH-0014295) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1417390634

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameDR. ANDREW R CANNINGCredential: PHARMD

Location Address9605 GRAND RONDE RDGrand Ronde, OR 97347-9712

Mailing Address9605 Grand Ronde RdGrand Ronde, OR 97347-9712 · (503) 879-2342 · Fax (503) 879-2030

Phone(503) 879-2342

Fax(503) 879-2030

Sole ProprietorNo

Enumeration DateApril 8, 2013

Last NPPES UpdateOctober 21, 20192 updates tracked since enumeration

✔ NPI 1417390634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in OR · RPH-0014295

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License PI-0010656 (OR)

9605 GRAND RONDE RD, Grand Ronde, OR 97347

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Other Identifiers 1

OtherRPH-0014295OR · Or Pharmacist License

Other Providers at the Same Location NPPES 20

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

HEIDI KATHLEEN HICINBOTHOM

Peer Specialist