MR. JACK ELLIS TANNER RPHR
NPI 1215024864
Pharmacist in Americus, GA

Active since October 06, 2006
1206 CRAWFORD ST, AMERICUS, GA 31709(229) 931-0271(229) 931-9864 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jack Ellis Tanner Rphr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK ELLIS TANNER RPHR (NPI 1215024864) is an individual pharmacist in Americus, Georgia, licensed in Georgia (013950) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1215024864
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JACK ELLIS TANNERCredential: RPHR
Location Address1206 CRAWFORD STAmericus, GA 31709-3277
Mailing AddressPo Box 285, 122 West College StEllaville, GA 31806-0285 · (229) 937-9105 · Fax (229) 931-9864
Fax(229) 931-9864
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1215024864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · 013950
Definition
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.
1206 CRAWFORD ST, Americus, GA 31709

Other Names 1

Professional Name (2)Mr. Jack Ellis Tanner Rph

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1206 CRAWFORD ST, SUITE A
AMERICUS, GA 31709
Home Health
1206 CRAWFORD ST, SUITE A
AMERICUS, GA 31709

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Tanner's NPI number?

The NPI number for Jack Tanner is 1215024864. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Mr. Jack Ellis Tanner Rph.

Where is Jack Tanner located?

Jack Tanner practices at 1206 Crawford St, Americus, GA 31709. The listed phone number is (229) 931-0271.

What is Jack Tanner's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jack Tanner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.