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: July 19, 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.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639784168, enumerated as an "individual" on September 11, 2020.

The provider is located at 210 E CHEROKEE ST JACKSONVILLE, TX 75766 and the phone number is (903) 586-2284.

Pharmacist with taxonomy code 183500000X.