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Marley Joseph Tanner, PHARM,D.

NPI 1124627401ActiveIndividual· Pharmacist· Crow Agency, MT

Pharmacist (PHARM,D.) in Crow Agency, Montana, licensed in MT and ID, with an NPI issued in October 2020. Part D covered 24 prescriptions written in 2024, 96% of them generic.

Overview

NPI1124627401
StatusActive
Entity typeIndividual
CredentialPHARM,D.
Sole proprietorNo
NPI issuedOct 19, 2020
Last updated in NPPESJan 27, 2023
Certified by providerJan 27, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPHA-PHA-LIC-71393MT
Pharmacist183500000XP8966ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)24 · 40 30-day fills
Total drug cost$1,159
Generic share96% of claims

Medicare sources and data years

Other Pharmacist providers in Crow Agency

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