Mr Jack Edward Funderburk, - Pharmacist in Moultrie, GA

Mr Jack Edward Funderburk, is a Pharmacist based in Moultrie, Georgia. Mr Jack Edward Funderburk is licensed to practice in Georgia (license number RPH010666) and his current practice location is 305 6th St Se, Moultrie, Georgia. He can be reached at his office (for appointments etc.) via phone at (229) 984-1378.

NPI number for Mr Jack Edward Funderburk is 1346530847 and his current mailing address is 305 6th St Se, Moultrie, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346530847.

Contact Information

Mr Jack Edward Funderburk,
305 6th St Se,
Moultrie, GA 31768-4842
(229) 984-1378
(229) 890-3185

Map and Direction


Healthcare Provider's Profile

Full NameMr Jack Edward Funderburk
GenderMale
SpecialityPharmacist
Location305 6th St Se, Moultrie, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346530847
  • Provider Enumeration Date: 04/18/2011
  • Last Update Date: 04/18/2011

Medical Identifiers

Medical identifiers for Mr Jack Edward Funderburk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346530847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist RPH010666 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jack Edward Funderburk is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jack Edward Funderburk,
305 6th St Se,
Moultrie, GA 31768-4842

Ph: (229) 984-1378
Mr Jack Edward Funderburk,
305 6th St Se,
Moultrie, GA 31768-4842

Ph: (229) 984-1378

Reviews and Comments


Pharmacist in Moultrie, GA

Dr. Alexandreia Taylor Bassett, PHARM D
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Mr. Richard Truitt Bass, RPH
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Daniel Rustin Dixon,
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Alex Lam,
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Practice Location: 2025 1st Ave Se, Moultrie, GA 31788
Phone: 229-890-2776    
Mr. Norris Cooper,
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Medicare: Not Enrolled in Medicare
Practice Location: 305 6th St Se, Moultrie, GA 31768
Phone: 229-985-1378    Fax: 229-890-3185
Courtney Foy Edwards, PHARMD
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Medicare: Not Enrolled in Medicare
Practice Location: 378 Veterans Pkwy N, Moultrie, GA 31788
Phone: 229-217-4816    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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