MR. WILLIAM R CANNON II (NPI# 1184919094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184919094 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM R CANNON II |
| Practice Address |
250 E Miracle Strip Pkwy Mary Esther FL 32569-1924 |
| Practice Telephone | 8502439557 |
| Mailing Telephone | 8502439557 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS36509 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043516750 | William Alvis Cannon | Social Worker | 208 Elizabeth Ann Ct, San Antonio, TX 78213-1888 | 2011-01-28 |
| 1467472597 | William B. Cannon | Pharmacist | 342 E Parker Rd, Morganton, NC 28655-5111 | 2006-07-20 |
| 1912971243 | William J Cannon | Internal Medicine | 500 Mcmillen Street, Fort Atkinson, WI 53538-1233 | 2006-02-14 |
| 1689151003 | William Bryan Cannon | Registered Nurse | 4300 W 7th St, Little Rock, AR 72205 | 2018-07-27 |
| 1164764759 | William Russell Cannon | Psychiatry & Neurology | 2321 Blue Ridge Rd, Raleigh, NC 27607-0163 | 2013-03-21 |
| 1740593417 | William Joseph Cannon | Dentist | 8500 Wilshire Blvd, 1018, Beverly Hills, CA 90211-3121 | 2010-07-22 |
| 1225108681 | William C. Cannon | Counselor | 633 Thompson Ln, Suite 225, Nashville, TN 37204-3616 | 2006-11-09 |
| Street Address |
250 E MIRACLE STRIP PKWY |
| City | MARY ESTHER |
| State | FL |
| Zip Code | 32569-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639191273 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569-1924 | 2006-07-24 |
| 1467823922 | Ashley Rydzewski Hall | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569 | 2015-10-09 |
| 1376823633 | Lara Watt | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569-1924 | 2011-08-18 |
| 1699060392 | Julie L Fraser | Pharmacist | 250 E Miracle Strip Pkwy, T-0740, Mary Esther, FL 32569-1924 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132252 | Myra Jean Luna | Behavior Technician | 140 Cristobal Road N, Suite 501, Mary Esther, FL 32569 | 2020-07-24 |
| 1780242982 | Florida Kids Ppec, LLC | Skilled Nursing Facility | 5 E. Lane Dr., Units A/b, Mary Esther, FL 32569 | 2019-06-03 |
| 1730604695 | Camille Martinez | Behavior Technician | 116 Fourth St Se Unit #c, Fort Walton Beach, FL 32569 | 2017-08-11 |
| 1265846000 | Stillwaters Counseling, LLC | Counselor | 425 East Hollywood Boulevard, Building C, Suite #c5, Mary Esther, FL 32569 | 2014-06-19 |
| 1649562729 | Elizabeth Ann Hutchinson | Nurse Practitioner | 151 Mary Esther Blvd # 301, Mary Esther, FL 32569 | 2011-05-09 |
| 1215237789 | Nekita Antionette Robinson | Licensed Practical Nurse | 24 Solar Street, Mary Esther, FL 32569 | 2010-10-29 |
| 1538395587 | Angela Marie Meadows | Nurse Practitioner | 151 Mary Esther Blvd Ste 403a, Mary Esther, FL 32569 | 2009-06-04 |
| 1891939831 | Tamara Fought Bertrand | Massage Therapist | 151 Mary Ester Blvd, Suite 309b, Apo, AP 32569 | 2009-04-21 |
| 1083705651 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 300 Mary Esther Cutoff, Mary Esther, FL 32569 | 2006-09-27 |
| 1790929917 | Panhandle Hearing Centers, Inc. | Hearing Instrument Specialist | 300 Mary Esther Blvd, Sears Miracle Ear - Santa Rosa Mall, Mary Esther, FL 32569 | 2009-05-01 |
| Find all providers in zip 32569 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467823922 | Ashley Rydzewski Hall | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569 | 2015-10-09 |
| 1376823633 | Lara Watt | Pharmacist | 250 E Miracle Strip Pkwy, Mary Esther, FL 32569-1924 | 2011-08-18 |
| 1699060392 | Julie L Fraser | Pharmacist | 250 E Miracle Strip Pkwy, T-0740, Mary Esther, FL 32569-1924 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | MARY ESTHER |
| Zip Code | 32569 |
Please comment or provide details below to improve the information on MR. WILLIAM R CANNON II.
| 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.