Dr. Jacob Gray Leclaire, PHARMD
Pharmacist in Attica, IN. Individual provider (NPI-1).
NPI number1487375986
StatusActive
Last updated in NPPESSep 5, 2022
Details
- NPI
- 1487375986
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob Gray Leclaire
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2022
- Certification date
- Sep 4, 2022
- Last updated
- Sep 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26029953A | IN | Yes |
Practice location
200 W Jackson StAttica, IN 47918-1313
Phone 317-431-7757
Mailing address
8237 E 12th StIndianapolis, IN 46219-4004
Phone 317-431-7757
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