KRIS DENZEL TUPAS PHARMD
NPI 1629508254
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since June 15, 2017
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545(574) 335-6500(574) 335-0771 Get Directions Write a Review

NPPES record last updated: June 15, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kris Denzel Tupas Pharmd NPPES

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

KRIS DENZEL TUPAS PHARMD (NPI 1629508254) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1629508254
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRIS DENZEL TUPASCredential: PHARMD
Location Address611 E DOUGLAS RD STE 407Mishawaka, IN 46545-1468
Mailing Address707 E Cedar St, Suite 200South Bend, IN 46617-2057 · (574) 335-8700 · Fax (574) 335-0741
Fax(574) 335-0771
Sole ProprietorNo
Enumeration DateJune 15, 2017
NPI 1629508254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

611 E DOUGLAS RD STE 407, Mishawaka, IN 46545

Other Identifiers 1

OtherPENDINGState License

Other Providers at the Same Location NPPES 19

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

Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist (Pharmacotherapy)
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Family Medicine
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629508254, enumerated as an "individual" on June 15, 2017.

The provider is located at 611 E DOUGLAS RD STE 407 MISHAWAKA, IN 46545 and the phone number is (574) 335-6500.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.