# CANNONS DISCOUNT PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CANNONS DISCOUNT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659417202
- **Authorized official:** CHARLES R. CANNON III PHARMD (MANAGING MEMBER)
- **Authorized official phone:** (985) 878-5555

## Contact information

- **Practice address:** 13351 E ALESSI RD, INDEPENDENCE, LA 70443-2398
- **Practice address phone:** (985) 878-5555
- **Practice address fax:** (985) 878-5553
- **Mailing address:** 13351 E ALESSI RD, INDEPENDENCE, LA 70443-2398
- **Mailing address phone:** (985) 878-5555
- **Mailing address fax:** (985) 878-5553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.005972-IR | LA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 09/29/2025