Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jack Ellis Tanner, RPHR

Individual provider Pharmacist · NPI 1215024864

Mr. Jack Ellis Tanner, RPHR is a Pharmacist in Americus, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
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Practice location Address checks out

1206 Crawford St
Americus, GA 31709-3277
Phone: (229) 931-0271
Fax: (229) 931-9864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 013950 (GA)

Record details

NPI number1215024864
Entity typeIndividual (Type 1)
GenderMale
Credentials RPHR
Sole proprietorYes
NPI enumeratedOctober 6, 2006
Last updated in NPPESJuly 8, 2007

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