DR. MATTHEW TANNER (NPI# 1144865056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144865056 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW TANNER |
| Credential | PHARMD |
| Practice Address |
646 Main St N Pearson GA 31642-7549 |
| Mailing Address |
Po Box 608 Pearson GA 31642-0608 |
| Practice Telephone | 9124223631 |
| Practice Fax Number | 9124226104 |
| Mailing Telephone | 9124223631 |
| Mailing Fax Number | 9124226104 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH027213 | GA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1919 Alice St, Waycross, GA 315016207 | 9125924424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395067 | Matthew Jason Tanner | Nurse Practitioner | 1015 Michigan Ave, Logansport, IN 46947-1526 | 2019-09-16 |
| 1194380501 | Matthew A Tanner | Physician Assistant | 2001 Charlotte Ave, Nashville, TN 37203-2032 | 2019-05-01 |
| 1356876239 | Matthew Tanner | Student in an Organized Health Care Education/Training Program | 530 S Wakara Way, Salt Lake City, UT 84108-1213 | 2017-04-27 |
| 1811369994 | Matthew Tanner | Pharmacist | 890 Oak St Se, Salem, OR 97301-3905 | 2015-10-28 |
| 1154668432 | Matthew Alan Tanner | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2013-01-07 |
| Street Address |
646 MAIN ST N |
| City | PEARSON |
| State | GA |
| Zip Code | 31642-7549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417914102 | Morris Drug Co Inc | Pharmacy | 646 Main St N, Pearson, GA 31642-7549 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528201936 | Asf Medical Center Inc | Emergency Medicine | 640 Main St North, Pearson, GA 31642 | 2009-04-15 |
| 1063657617 | Beverly Dianne Robertson | Registered Nurse | 636 A E. Austin Ave, Pearson, GA 31642 | 2008-12-11 |
| 1164569190 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 636 E Austin Ave, Suite 3, Pearson, GA 31642 | 2007-01-31 |
| 1154468106 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 W Austin Avenue, Pearson, GA 31642 | 2007-01-31 |
| 1750443263 | Atkinson County Board of Education | Registered Nurse | 98 East Roberts Ave., Pearson, GA 31642 | 2006-12-14 |
| 1578632931 | Boones Pharmacy, Inc. | Pharmacist | 37 Albany Ave E, Pearson, GA 31642 | 2006-11-07 |
| 1558445742 | South Central Primary Care Center, Inc. | Clinic/Center | 640 Main St N, Pearson, GA 31642 | 2006-10-24 |
| 1518062199 | Stephen Marcel Burt | General Practice | 1111 Highway 441 North, Pearson, GA 31642 | 2006-09-14 |
| 1922067859 | Rebecca A Clark | Physician Assistant | 664 N Main St, Pearson, GA 31642 | 2006-03-20 |
| 1962483867 | Ware Visiting Nurses Service, Inc | Home Health | 380 East Roberts St, Pearson, GA 31642 | 2005-11-08 |
| Find all providers in zip 31642 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578632931 | Boones Pharmacy, Inc. | Pharmacist | 37 Albany Ave E, Pearson, GA 31642 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538103 | Agatha Nonye Okoye | Pharmacist | 5300 Bridle Point Pkwy, Snellville, GA 30039-2715 | 2020-11-05 |
| 1861093155 | Mohamed J Bah | Pharmacist | 2965 Olivine Dr, Dacula, GA 30019-7646 | 2020-11-04 |
| 1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
| 1720689219 | Olubunmi Adeniyi | Pharmacist | 524 Serene Waters Trl, Jonesboro, GA 30236-5495 | 2020-11-03 |
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1063013613 | John Ellis Iv | Pharmacist | 135 Rudders Xing, Newnan, GA 30263-7032 | 2020-11-02 |
| 1992306591 | Connie Deverell Tam | Pharmacist | Walmart Pharmacy #1658, 2205 Harrison Rd, Thomson, GA 30824 | 2020-11-02 |
| 1922608520 | Sylvia Adams | Pharmacist | 1173 W Briar Gate Ct, Riverdale, GA 30296-3378 | 2020-11-01 |
| 1417557000 | Birtukan Tsegaye | Pharmacist | 2715 Henderson Rd, Tucker, GA 30084-2432 | 2020-10-31 |
| 1528668175 | Vishwa Patel | Pharmacist | 3604 Bellhaven Dr, Valdosta, GA 31605-1210 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.