MEMORIAL HOSPITAL OF SOUTH BEND - TEAM PHARMACY
NPI 1285292722
Pharmacy - Community/Retail Pharmacy in South Bend, IN

Active since May 30, 2019
100 NAVARRE PL STE 1150, SOUTH BEND, IN 46601(574) 647-3534(574) 647-6767 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Dec 1, 2022, May 30, 2019 (3 updates tracked since 2019).

About Memorial Hospital Of South Bend - Team Pharmacy NPPES

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

MEMORIAL HOSPITAL OF SOUTH BEND - TEAM PHARMACY (NPI 1285292722) is a healthcare organization registered as a community/retail pharmacy in South Bend, Indiana and active in the NPI registry since May 2019. The organization lists Jeffrey P Costello, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285292722
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEMORIAL HOSPITAL OF SOUTH BEND - TEAM PHARMACY
Location Address100 NAVARRE PL STE 1150South Bend, IN 46601-1156
Mailing Address100 Navarre Pl Ste 1150South Bend, IN 46601-1156 · (574) 647-3534 · Fax (574) 647-6767
Fax(574) 647-6767
Organization SubpartYesParent: Memorial Hospital Of South Bend, Inc
Authorized OfficialJeffrey P CostelloCfo · (574) 647-3460
Enumeration DateMay 30, 2019
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1285292722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
100 NAVARRE PL STE 1150, South Bend, IN 46601

Other Identifiers 1

Medicaid300029964IN

Accepted Insurance

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 Memorial Hospital Of South Bend - Team Pharmacy's NPI number?

The NPI number for Memorial Hospital Of South Bend - Team Pharmacy is 1285292722. It was assigned to this organization in the NPPES registry on May 30, 2019.

Where is Memorial Hospital Of South Bend - Team Pharmacy located?

Memorial Hospital Of South Bend - Team Pharmacy is located at 100 Navarre Pl Ste 1150, South Bend, IN 46601. The listed phone number is (574) 647-3534.

What is Memorial Hospital Of South Bend - Team Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Memorial Hospital Of South Bend - Team Pharmacy 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 49 other insurers list Memorial Hospital Of South Bend - Team Pharmacy 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 Memorial Hospital Of South Bend - Team Pharmacy was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.