IndividualActive
Jack Funderburk
NPI 1346530847 · Pharmacist · Moultrie, GA
Jack Funderburk is a Pharmacist provider in Moultrie, GA (NPI 1346530847).
Provider details
- NPI number
- 1346530847
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RPH010666 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
305 6th St Se
Moultrie, GA 31768-4842
Phone: (229) 984-1378
Fax: (229) 890-3185
Street-level locationGet directions
Mailing address
305 6th St Se
Moultrie, GA 31768-4842
Registry dates
- Enumerated
- 2011-04-18
- Last updated
- 2011-04-18
Frequently asked questions
- What is Jack Funderburk's NPI number?
- Jack Funderburk's National Provider Identifier (NPI) is 1346530847, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Funderburk's specialty?
- Jack Funderburk is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jack Funderburk located?
- Jack Funderburk's practice location on file with NPPES is 305 6th St Se, Moultrie, GA 31768-4842.
- What is Jack Funderburk's phone number?
- The practice phone number listed in the NPPES registry for Jack Funderburk is (229) 984-1378.
- Is Jack Funderburk's NPI active?
- Yes — Jack Funderburk's NPI (1346530847) is active in the NPPES registry as of the last update on 2011-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.