Jacob Conrad

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

26028794A Issued in IN

Practice address

150 Marlin Dr
Greenwood, IN 46142-1451

Phone

(317) 885-3010

Fax

(317) 885-3065

NPI assigned

Jul 15, 2021

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1255903464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 BLUE NOTE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MARLIN DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421451",
            "telephone_number": "317-885-3010",
            "fax_number": "317-885-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IN",
            "license": "26028794A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "26028794A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob.conrad@meijer.com",
            "affiliation": "N",
            "address_1": "150 Marlin Dr",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461421451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eugene Blanchard Cone, M.D.
• Gretchen V Conley, ANP
• Christopher Scott Connell, O.D.
• Caitlyn Conner, RBT
• Alicia Conover
• Julianne Cook
• Natalia Cooke, DO
• Paul Daniel Cooke, DO
• Cheyenne Cooper
• Donika Cooper

• Pharmacotherapy Pharmacist in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Pharmacotherapy Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.