JORDAN CANANKAMP PHARMD – NPI #1134621261
Pharmacist

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

JORDAN CANANKAMP is a pharmacist located in CHARLESTON, WV. NPPES has assigned the NPI number 1134621261 to JORDAN CANANKAMP on March 05, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1835P2201X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Ambulatory Care

The NPI profile was previously updated about 8 years ago on Aug 08, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORDAN CANANKAMP below.

NPI Profile for
JORDAN CANANKAMP

NPI Number
1134621261
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JORDAN CANANKAMP
Credentials
PHARMD
Primary location
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Phone: (304) 345-3627 Fax: (304) 346-4440
1 Other location(s):
1097 Fledderjohn Rd
Charleston, WV 25314-4208
Phone: (304) 345-3627
Fax: (304) 346-4440
Mailing address
21961 NE CHINOOK WAY
FAIRVIEW, OR 97024-8615
Phone: (814) 644-1581 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P2201X
- Pharmacist / Ambulatory Care (Primary)
OR RPH-0016706
183500000X
- Pharmacist
OR RPH-0016706

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.