Individual provider Active NPI

Tanner Reece Abbott

  • Pharmacist
  • Defuniak Springs, FL
National Provider Identifier
1497547905
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68810 Issued in FL
Practice address
1337 US Highway 90 W
Defuniak Springs, FL 32433-1470
Phone
(850) 892-6898
Fax
(850) 892-6898
NPI assigned
May 20, 2025
Last updated
May 20, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68810 FL Primary

Addresses

Primary practice location

1337 US Highway 90 W
Defuniak Springs, FL 32433-1470

Mailing address

1061 S 2ND St
Defuniak Springs, FL 32435-4909
Phone (850) 401-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68810FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prescription Place of Defuniak Springs Inc PastSince May 25, 2025 Accepting new patients
Prescription Place of Defuniak Springs Inc PastSince May 25, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1497547905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 S 2ND ST",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324354909",
            "telephone_number": "850-401-8680",
            "fax_number": "850-892-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 US HIGHWAY 90 W",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324331470",
            "telephone_number": "850-892-6898",
            "fax_number": "850-892-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "TANNER",
        "middle_name": "REECE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "68810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.