KIMBERLY JOY CANON
NPI 1639784168
Pharmacist in Jacksonville, TX

Active since September 11, 2020
210 E CHEROKEE ST, JACKSONVILLE, TX 75766(903) 586-2284(903) 586-2285 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kimberly Joy Canon NPPES

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

KIMBERLY JOY CANON (NPI 1639784168) is an individual pharmacist in Jacksonville, Texas, licensed in Texas (27385) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1639784168
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKIMBERLY JOY CANON
Location Address210 E CHEROKEE STJacksonville, TX 75766-4899
Mailing Address210 E Cherokee StJacksonville, TX 75766-4899 · (903) 586-2284
Fax(903) 586-2285
Sole ProprietorNo
Enumeration DateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
NPI 1639784168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 27385
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
210 E CHEROKEE ST, Jacksonville, TX 75766

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
210 E CHEROKEE ST
JACKSONVILLE, TX 75766
Pharmacy (Community/Retail Pharmacy)
210 E CHEROKEE ST
JACKSONVILLE, TX 75766

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 Kimberly Canon's NPI number?

The NPI number for Kimberly Canon is 1639784168. It was assigned to this individual provider in the NPPES registry on September 11, 2020.

Where is Kimberly Canon located?

Kimberly Canon practices at 210 E Cherokee St, Jacksonville, TX 75766. The listed phone number is (903) 586-2284.

What is Kimberly Canon's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kimberly Canon was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.