MISHAWAKA FAMILY PHARMACY
NPI 1538440250
Pharmacy in Mishawaka, IN

Active since September 08, 2011
611 E DOUGLAS RD, STE 104, MISHAWAKA, IN 46545(574) 340-0388 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mishawaka Family Pharmacy NPPES

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

MISHAWAKA FAMILY PHARMACY (NPI 1538440250) is a healthcare organization registered as a pharmacy in Mishawaka, Indiana and active in the NPI registry since September 2011. The organization lists Chawki Fakih, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1538440250
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMISHAWAKA FAMILY PHARMACY LLC
Location Address611 E DOUGLAS RD, STE 104Mishawaka, IN 46545-1464
Mailing Address611 E Douglas Rd, Ste 104Mishawaka, IN 46545-1464 · (574) 340-0388
Organization SubpartNo
Authorized OfficialChawki FakihPharmacist · (313) 443-5959
Enumeration DateSeptember 8, 2011
NPI 1538440250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in IN · 60006269B
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

611 E DOUGLAS RD, Mishawaka, IN 46545

Other Names 1

Doing Business AsMishawaka Family Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2083521

Mishawaka Il/Al, LLC D/B/A Cedarhurst Of Edison Lakes · Mishawaka, IN
Active · expires Sep 7, 2026
CLIA Number15D2083521
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorStacy Demeester
Laboratory Phone(574) 247-1552
Laboratory LocationMishawaka Il/Al, LLC D/B/A Cedarhurst Of Edison Lakes1025 Park Place, Mishawaka, IN 46545
This certificate is issued to a laboratory to perform only waived tests.

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.

Internal Medicine
611 E DOUGLAS RD, SUITE 309
MISHAWAKA, IN 46545
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD, SUITE 208
MISHAWAKA, IN 46545
Social Worker (Clinical)
611 E DOUGLAS RD, SUITE 405
MISHAWAKA, IN 46545
Durable Medical Equipment & Medical Supplies
611 E DOUGLAS RD, SUITE 124
MISHAWAKA, IN 46545
Prosthetic/Orthotic Supplier
611 E DOUGLAS RD
MISHAWAKA, IN 46545
Registered Nurse (Plastic Surgery)
611 E DOUGLAS RD
MISHAWAKA, IN 46545
Family Medicine
611 E DOUGLAS RD, STE 407
MISHAWAKA, IN 46545
Ophthalmology
611 E DOUGLAS RD, SUITE 102
MISHAWAKA, IN 46545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538440250, enumerated as an "organization" on September 08, 2011.

The provider is located at 611 E DOUGLAS RD STE 104 MISHAWAKA, IN 46545 and the phone number is (574) 340-0388.

Pharmacy with taxonomy code 333600000X.