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

DR. JACOB THOMAS CANNESTRA PHARMD
NPI 1467134635
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fond Du Lac, WI

Active since August 07, 2023
55 W PIONEER RD, FOND DU LAC, WI 54935(920) 923-7780 Get Directions Write a Review

NPPES record last updated: June 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jacob Thomas Cannestra Pharmd NPPES

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

DR. JACOB THOMAS CANNESTRA PHARMD (NPI 1467134635) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fond Du Lac, Wisconsin, licensed in Wisconsin (22272-40) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1467134635
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. JACOB THOMAS CANNESTRACredential: PHARMD
Location Address55 W PIONEER RDFond Du Lac, WI 54935-6151
Mailing Address315 Lampert StOshkosh, WI 54901-5303 · (414) 581-2807
Sole ProprietorNo
Enumeration DateAugust 7, 2023
Last NPPES UpdateJune 13, 2026
NPPES CertifiedJune 13, 2026
NPI 1467134635 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 WI · 22272-40
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.
55 W PIONEER RD, Fond Du Lac, WI 54935

Other Providers at the Same Location NPPES 2

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
55 W PIONEER RD
FOND DU LAC, WI 54935
Pharmacy (Community/Retail Pharmacy)
55 W PIONEER RD
FOND DU LAC, WI 54935

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 Jacob Cannestra's NPI number?

The NPI number for Jacob Cannestra is 1467134635. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Jacob Cannestra located?

Jacob Cannestra practices at 55 W Pioneer Rd, Fond Du Lac, WI 54935. The listed phone number is (920) 923-7780.

What is Jacob Cannestra'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 Jacob Cannestra was last updated on June 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 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.