THE SOUTH BEND CLINIC PHARMACY AT GRANGER
NPI 1174187553
Pharmacy - Clinic Pharmacy in Granger, IN

Active since May 01, 2019
52500 FIR RD, GRANGER, IN 46530(574) 204-7260 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2024, May 1, 2019 (2 updates tracked since 2019).

About The South Bend Clinic Pharmacy At Granger NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SOUTH BEND CLINIC PHARMACY AT GRANGER (NPI 1174187553) is a healthcare organization registered as a clinic pharmacy in Granger, Indiana and active in the NPI registry since May 2019. The organization lists Andrea Krupa, Exec Directory Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1174187553
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameTHE SOUTH BEND CLINIC LLC
Location Address52500 FIR RDGranger, IN 46530-8579
Mailing Address211 N Eddy StSouth Bend, IN 46617-3096 · (574) 237-9295 · Fax (574) 239-1554
Organization SubpartNo
Authorized OfficialAndrea KrupaExec Directory Of Pharmacy · (574) 239-1461
Enumeration DateMay 1, 2019
Last NPPES UpdateNovember 26, 20242 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
NPI 1174187553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

52500 FIR RD, Granger, IN 46530

Other Names 1

Doing Business AsThe South Bend Clinic Pharmacy At Granger

Other Identifiers 1

Medicaid100300930IN

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
52500 FIR RD
GRANGER, IN 46530
Family Medicine
52500 FIR RD
GRANGER, IN 46530
Pediatrics
52500 FIR RD
GRANGER, IN 46530
Pediatrics
52500 FIR RD
GRANGER, IN 46530
Family Medicine
52500 FIR RD
GRANGER, IN 46530
Nurse Practitioner (Family)
52500 FIR RD
GRANGER, IN 46530
Family Medicine
52500 FIR RD
GRANGER, IN 46530
Durable Medical Equipment & Medical Supplies
52500 FIR RD
GRANGER, IN 46530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The South Bend Clinic LLC's NPI number?

The NPI number for The South Bend Clinic LLC is 1174187553. It was assigned to this organization in the NPPES registry on May 1, 2019. The provider is doing business as The South Bend Clinic Pharmacy At Granger.

Where is The South Bend Clinic LLC located?

The South Bend Clinic LLC is located at 52500 Fir Rd, Granger, IN 46530. The listed phone number is (574) 204-7260.

What is The South Bend Clinic LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does The South Bend Clinic LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list The South Bend Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The South Bend Clinic LLC was last updated on November 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.