IndividualActive
Jacob Conrad
NPI 1255903464 · Pharmacotherapy Pharmacist · Greenwood, IN
Provider details
- NPI number
- 1255903464
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26028794A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
150 Marlin Dr
Greenwood, IN 46142-1451
Phone: (317) 885-3010
Fax: (317) 885-3065
Approximate (ZIP-level) locationGet directions
Mailing address
4237 Blue Note Dr
Indianapolis, IN 46239-9815
Registry dates
- Enumerated
- 2021-07-15
- Last updated
- 2021-07-15
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.