Provider Demographics
NPI:1801873625
Name:J ACRA, INC
Entity type:Organization
Organization Name:J ACRA, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:ACRA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:812-662-8550
Mailing Address - Street 1:1015 N LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-1292
Mailing Address - Country:US
Mailing Address - Phone:812-662-8550
Mailing Address - Fax:812-663-8343
Practice Address - Street 1:1015 N LINCOLN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-1292
Practice Address - Country:US
Practice Address - Phone:812-662-8550
Practice Address - Fax:812-663-8343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60005456A332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1534418OtherNCPDP NUMBER
IN200229650Medicaid
INBT6330269OtherDEA #
IN1273010001Medicare NSC