PANTHER HEALTH, LLC (NPI# 1164875340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164875340 |
| Entity Type | Organization |
| Organization Name | PANTHER HEALTH, LLC |
| Other Organization Name | CANNON PHARMACY MOORESVILLE DME |
| Practice Address |
521 E Plaza Dr Mooresville NC 28115-8071 |
| Practice Telephone | 7046589870 |
| Practice Fax Number | 7046589871 |
| Mailing Telephone | 7046589870 |
| Mailing Fax Number | 7046589871 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |
| Authorized Official Name | DR. RYAN YANICKO (PHARMACIST OWNER) |
| Authorized Official Telephone | 7046589870 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
1225412562 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1225412562 | 05 |
| Other Name | Type Code |
|---|---|
| Cannon Pharmacy Mooresville DME | Doing Business As Name - Organization |
| Street Address |
521 E PLAZA DR |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-8071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811134869 | Livewell Inc | Pharmacy | 521 E Plaza Dr, Mooresville, NC 28115-8071 | 2009-01-13 |
| 1225412562 | Panther Health LLC | Durable Medical Equipment & Medical Supplies | 521 E Plaza Dr, Mooresville, NC 28115-8071 | 2015-07-16 |
| 1740565076 | Ryan Thomas Yanicko | Pharmacist | 521 E Plaza Dr, Mooresville, NC 28115-8071 | 2011-10-18 |
| 1043538515 | Brian William Rebholz | Pharmacist | 521 E Plaza Dr, Mooresville, NC 28115-8071 | 2010-05-09 |
| 1972839025 | Kimberly Rowland White | Pharmacist | 521 E Plaza Dr, Mooresville, NC 28115-8071 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598839474 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 123 Professional Park Dr Ste 100, Mooresville, NC 28117-5516 | 2006-11-20 |
| 1063482719 | Home Medical Systems Inc | Durable Medical Equipment & Medical Supplies | 224 Rolling Hill Rd, Suite 6a, Mooresville, NC 28117-8090 | 2006-01-25 |
| 1487052221 | Urology of Indiana L.L.C. | Durable Medical Equipment & Medical Supplies | 1215 Hadley Rd, Suite 203, Mooresville, IN 46158-2905 | 2014-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102051 | Sassy Stylez | Durable Medical Equipment & Medical Supplies | 231 Graham Meadow Dr, Charlotte, NC 28213-4921 | 2020-10-20 |
| 1093327736 | Mcduffie & Associates, Inc | Durable Medical Equipment & Medical Supplies | 203 Church Hill Ct, New Bern, NC 28562-4870 | 2020-08-22 |
| 1003426388 | Bradley Cecil | Durable Medical Equipment & Medical Supplies | 50 E Main St Ste 100, Thomasville, NC 27360-4000 | 2020-08-03 |
| 1366067035 | Carolina Hair Loss & Prosthetics | Durable Medical Equipment & Medical Supplies | 1903 N Pine St, Lumberton, NC 28358-3969 | 2020-06-09 |
| 1275189540 | Et Care Inc | Durable Medical Equipment & Medical Supplies | 500 E Gannon Ave, Zebulon, NC 27597-2776 | 2019-08-13 |
| 1821656976 | Ashley S Desaix Dds Pa | Durable Medical Equipment & Medical Supplies | 3420 Ten Ten Rd Ste 310, Cary, NC 27518-6101 | 2019-06-04 |
| 1790349850 | Unique Boutique Inc | Durable Medical Equipment & Medical Supplies | 200 Medical Park Dr Ste 145, Concord, NC 28025-0928 | 2019-04-24 |
| 1447719810 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 8421 Old Statesville Rd Ste 18, Charlotte, NC 28269-1838 | 2019-03-15 |
| 1821569294 | Atlantic Coast Orthopedic Medical Supplies | Durable Medical Equipment & Medical Supplies | 6510 Northpark Blvd Ste A, Charlotte, NC 28216-2367 | 2018-12-11 |
| 1215444195 | Monica Lilly | Durable Medical Equipment & Medical Supplies | 123 N Main St Ste A, Norwood, NC 28128-9603 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.