Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1285292722
Memorial Hospital Of South Bend - Team Pharmacy
Organization Subpart: YES
Active
NPI Number1285292722
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1285292722
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2019-05-30
Last Updated2025-02-12
Authorized OfficialJeffrey Costello
CFO
Phone: 5746473460
Mailing Address100 Navarre Pl Ste 1150
South Bend, IN 46601-1156
United States
Phone: (574) 647-3534 | Fax: (574) 647-6767
📍 View Map
Primary Practice Address100 Navarre Pl Ste 1150
South Bend, IN 46601-1156
United States
Phone: (574) 647-3534 | Fax: (574) 647-6767
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDIN300029964-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0003X – Pharmacy, Community/Retail Pharmacy--
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About NPI 1285292722

Memorial Hospital Of South Bend - Team Pharmacy is an organization registered in the CMS NPPES NPI Registry with NPI number 1285292722. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in South Bend, IN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-05-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1285292722?

NPI 1285292722 belongs to Memorial Hospital Of South Bend - Team Pharmacy, a Pharmacy, Community/Retail Pharmacy in South Bend, IN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1285292722 active?

The current status of NPI 1285292722 in the NPPES registry is Active. The record was last updated on 2025-02-12.

What specialty is NPI 1285292722?

NPI 1285292722 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1285292722?

You can verify NPI 1285292722 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1285292722?

The primary practice address on file for NPI 1285292722 is 100 Navarre Pl Ste 1150, South Bend, IN 46601-1156. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1285292722 issued?

NPI 1285292722 was first issued (enumerated) on 2019-05-30. The NPPES record was last updated on 2025-02-12.

Practice Location Map

Memorial Hospital Of South Bend - Team Pharmacy is located at 100 Navarre Pl Ste 1150, South Bend, IN. Use the map below to find directions or verify the practice location.

📍 100 Navarre Pl Ste 1150, South Bend, IN 46601-1156  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Memorial Hospital Of South Bend - Team Pharmacy. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-01 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162