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

Tanner Tracy, PHARMD

Individual provider Pharmacist · NPI 1699696286

Tanner Tracy, PHARMD is a Pharmacist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-4353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 3481219 (ID)

Record details

NPI number1699696286
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 21, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address6248 S Rockrose Way, Boise, ID 83716-7133

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