Healthcare Provider Details

I. General information

NPI: 1659289460
Provider Name (Legal Business Name): JACOB ANDREW LINDSEY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 SHORE DR
INDIANAPOLIS IN
46254-2607
US

IV. Provider business mailing address

2942 S COUNTY ROAD 400 W
ROCKPORT IN
47635-8328
US

V. Phone/Fax

Practice location:
  • Phone: 317-329-2000
  • Fax:
Mailing address:
  • Phone: 812-686-4047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26031656A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: