MR. PAUL RICHARD CANNON (NPI# 1447564760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447564760 |
| Entity Type | Individual |
| Full Name | MR. PAUL RICHARD CANNON |
| Credential | RPH |
| Practice Address |
225 Madison Ave Skowhegan ME 04976-2054 |
| Practice Telephone | 2074742525 |
| Practice Fax Number | 2074748987 |
| Mailing Telephone | 2074742525 |
| Mailing Fax Number | 2074748987 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3819 | ME | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285022 | Paul B Cannon | Podiatrist | 104a E Broad St, Falls Church, VA 22046-4501 | 2005-06-14 |
| 1790212629 | Paul Cannon | Physician Assistant | 12401 E 17th Ave, Aurora, CO 80045-2548 | 2017-05-23 |
| 1295887131 | Paul V. Cannon II | Counselor | 401 Shady Ave, Suite A-106, Pittsburgh, PA 15206-4409 | 2007-01-18 |
| Street Address |
225 MADISON AVE |
| City | SKOWHEGAN |
| State | ME |
| Zip Code | 04976-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346552122 | Poonam Dabbas | Pharmacist | 225 Madison Ave, Skowhegan, ME 04976-2054 | 2010-07-08 |
| 1457860595 | Tamica Ann Day | Pharmacist | 225 Madison Ave, Skowhegan, ME 04976-2054 | 2017-09-20 |
| 1235653106 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 225 Madison Ave, Skowhegan, ME 04976-2054 | 2017-08-01 |
| 1639616659 | Ariel Murphy | Pharmacist | 225 Madison Ave, Skowhegan, ME 04976-2054 | 2017-01-28 |
| 1467860056 | Raymond Vincent Bloom | Pharmacist | 225 Madison Ave, Skowhegan, ME 04976-2054 | 2014-07-26 |
| 1922313501 | Mohamed Ali Elattar | Pharmacist | 225 Madison Ave, Skowhegan, ME 04976-2054 | 2010-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1033574348 | Northwoods Dental LLC | Dentist | 327 North Ave, Skowhegan, ME 04976 | 2015-12-31 |
| 1073988010 | Elizabeth Ann Corbin | Social Worker | 60 Water Street; Suite 202, Skowhegan, ME 04976 | 2015-12-02 |
| 1861875411 | Rebecca J. Dillingham | Registered Nurse | 1074 Canaan Road, Skowtogan, ME 04976 | 2015-07-01 |
| 1972915411 | Elisa Maria Diaz | Family Medicine | 46 Fairview Ave # 111, Skowhegan, ME 04976 | 2014-06-02 |
| 1215289277 | Alicia Bedard | Social Worker | 5 Commerce Drive, Skowhegan, ME 04976 | 2012-10-15 |
| 1942497276 | Betsy Belanger | Occupational Therapist | 23 Cedar Ridge Drive, Skowhegan, ME 04976 | 2007-10-01 |
| 1033322920 | Msad #54 | Local Education Agency (LEA) | 199 West Front Street, Skowhegan, ME 04976 | 2007-05-07 |
| 1063632263 | Shirley A Manzer | Case Manager/Care Coordinator | 78 Madison Ave, Skowhegan, ME 04976 | 2007-04-27 |
| 1275750259 | Elizabeth Doucette | Specialist | 220 Madsion Ave., Skowhegan, ME 04976 | 2007-04-19 |
| Find all providers in zip 04976 | ||||
| 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 |
|---|---|---|---|---|
| 1487105219 | Robin Nicol | Pharmacist | 60 Fairgrounds Marketplace, Skowhegan, ME 04963 | 2016-10-17 |
| 1750639845 | Kevin Holland | Pharmacist | 78 Water St, Skowhegan, ME 04976-1726 | 2012-08-21 |
| 1346552122 | Poonam Dabbas | Pharmacist | 225 Madison Ave, Skowhegan, ME 04976-2054 | 2010-07-08 |
| 1831675925 | Nathan Pomelow | Pharmacist | 60 Fairgrounds Mkt Pl, Skowhegan, ME 04976-1367 | 2018-07-12 |
| 1669968814 | Amanda Lyne Doyon | Pharmacist | 60 Fairgrounds Mkt Pl, Skowhegan, ME 04976-1367 | 2018-07-10 |
| 1568986909 | Camellia Carrier | Pharmacist | 12 High St, Skowhegan, ME 04976-1815 | 2017-07-27 |
| 1639616659 | Ariel Murphy | Pharmacist | 225 Madison Ave, Skowhegan, ME 04976-2054 | 2017-01-28 |
| 1659755569 | Brooke A Sylvain | Pharmacist | 60 Fairgrounds Mkt Pl, Skowhegan, ME 04976-1367 | 2015-07-10 |
| 1952710261 | Tyler Kenney | Pharmacist | 78 Water St, Skowhegan, ME 04976-1726 | 2014-08-12 |
| 1467860056 | Raymond Vincent Bloom | Pharmacist | 225 Madison Ave, Skowhegan, ME 04976-2054 | 2014-07-26 |
| Find all providers in SKOWHEGAN | ||||
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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.