OrganizationActive
Panther Health, LLC
NPI 1164875340 · Customized Equipment (DME) · Mooresville, NC
Panther Health, LLC is a Customized Equipment (DME) organization in Mooresville, NC (NPI 1164875340).
Provider details
- NPI number
- 1164875340
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Ryan Yanicko, Pharmacist Owner(704) 658-9870
- License
- 1225412562 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
521 E Plaza Dr
Mooresville, NC 28115-8071
Phone: (704) 658-9870
Fax: (704) 658-9871
Street-level locationGet directions
Mailing address
521 E Plaza Dr
Mooresville, NC 28115-8071
Other names (DBA / former)
- Doing business as
- Cannon Pharmacy Mooresville Dme
- Doing business as
- Cannon Pharmacy Mooresville Dme
Registry dates
- Enumerated
- 2016-07-22
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Frequently asked questions
- What is Panther Health, LLC's NPI number?
- Panther Health, LLC's National Provider Identifier (NPI) is 1164875340, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Panther Health, LLC?
- Panther Health, LLC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Panther Health, LLC located?
- Panther Health, LLC's practice location on file with NPPES is 521 E Plaza Dr, Mooresville, NC 28115-8071.
- What is Panther Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Panther Health, LLC is (704) 658-9870.
- Who is the authorized official for Panther Health, LLC?
- The authorized official listed on Panther Health, LLC's NPPES record is Ryan Yanicko, Pharmacist Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Panther Health, LLC's NPI active?
- Yes — Panther Health, LLC's NPI (1164875340) is active in the NPPES registry as of the last update on 2022-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.