Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205402856 Individual Practitioner Male Practitioner

Jacob Aaron Boan

Pharmacist • Clinton, MO

Professional Overview & Biography Verified Profile Summary

Jacob Boan is a registered healthcare professional specializing in Pharmacist in Clinton, MO. Practice services are available at 1712 E OHIO ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1712 E Ohio St

Clinton, MO 647352402

Telephone 6608902587
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1205853561

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Clinton, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Clinton, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-02
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2019034275

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1003417171

Doctor of Pharmacy (Pharm.D.)

NPI 1053911594

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2021

Registered at 1712 E OHIO ST, CLINTON, MO 647352402 (Tel: 6608902587)

📍
Updated Business Mailing Address June 02, 2021

Registered at 902 WILLOW ST, CLINTON, MO 647353058

👤
Provider Name / Credentials Updated June 02, 2021

Recorded as JACOB BOAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Pharmacist (License #2019034275 in MO)

🟢
Initial NPI Registration & Enumeration June 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205402856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2021
Last Update: June 02, 2021
Sole Proprietor: No

Mailing Address

902 Willow St

Clinton, MO 647353058

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.