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INDIANA WELLNESS RX 2 LLC
NPI 1639753767
Pharmacy in Mishawaka, IN

Active since May 05, 2021
215 W 4TH ST STE 1, MISHAWAKA, IN 46544(561) 556-3721 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2021, May 5, 2021 (2 updates tracked since 2021).

About Indiana Wellness Rx 2 Llc NPPES

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

INDIANA WELLNESS RX 2 LLC (NPI 1639753767) is a healthcare organization registered as a pharmacy in Mishawaka, Indiana and active in the NPI registry since May 2021. The organization lists Kirill Vesselov, Owner, as its authorized official.

NPPES Registry Identity

NPI1639753767
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameINDIANA WELLNESS RX 2 LLC
Location Address215 W 4TH ST STE 1Mishawaka, IN 46544-1917
Mailing Address2925 10th Ave NPalm Springs, FL 33461-3000
Phone(561) 556-3721
Organization SubpartNo
Authorized OfficialKirill VesselovOwner · (561) 556-3721
Enumeration DateMay 5, 2021
Last NPPES UpdateJune 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1639753767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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.
215 W 4TH ST STE 1, Mishawaka, IN 46544
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Other Providers at the Same Location NPPES

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

INDIANA WELLNESS RX LLC
Pharmacy
215 W 4TH ST STE 1
MISHAWAKA, IN 46544
St. Joseph County (574) 544-0102

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 Indiana Wellness Rx 2 LLC's NPI number?

The NPI number for Indiana Wellness Rx 2 LLC is 1639753767. It was assigned to this organization in the NPPES registry on May 5, 2021.

Where is Indiana Wellness Rx 2 LLC located?

Indiana Wellness Rx 2 LLC is located at 215 W 4th St Ste 1, Mishawaka, IN 46544. The listed phone number is (561) 556-3721.

What is Indiana Wellness Rx 2 LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Indiana Wellness Rx 2 LLC was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.