IndividualActive
Jacob Boan
NPI 1205402856 · Pharmacist · Clinton, MO
Jacob Boan is a Pharmacist provider in Clinton, MO (NPI 1205402856).
Provider details
- NPI number
- 1205402856
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2019034275 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1712 E Ohio St
Clinton, MO 64735-2402
Phone: (660) 890-2587
Street-level locationGet directions
Mailing address
902 Willow St
Clinton, MO 64735-3058
Registry dates
- Enumerated
- 2021-06-02
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Frequently asked questions
- What is Jacob Boan's NPI number?
- Jacob Boan's National Provider Identifier (NPI) is 1205402856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Boan's specialty?
- Jacob Boan is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jacob Boan located?
- Jacob Boan's practice location on file with NPPES is 1712 E Ohio St, Clinton, MO 64735-2402.
- What is Jacob Boan's phone number?
- The practice phone number listed in the NPPES registry for Jacob Boan is (660) 890-2587.
- Is Jacob Boan's NPI active?
- Yes — Jacob Boan's NPI (1205402856) is active in the NPPES registry as of the last update on 2021-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.