Individual provider · Type 1 NPI

Jacob Thomas Cannestra, PharmD

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fond Du Lac, WI

NPI number 1467134635 Active

Practice location

55 W Pioneer Rd
Fond Du Lac, WI 54935-6151

Call (920) 923-7780 Map

Mailing address

315 Lampert St
Oshkosh, WI 54901-5303

Specialties and licenses

Taxonomy	Code	License
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary	1835P0018X	22272-40 (WI)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

2 other providers at this address

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About NPI 1467134635

Jacob Thomas Cannestra, PharmD's National Provider Identifier is 1467134635, issued on Aug 7, 2023. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jun 13, 2026.