OrganizationActive
The South Bend Clinic LLC
NPI 1174187553 · Clinic Pharmacy · Granger, IN
The South Bend Clinic LLC is a Clinic Pharmacy organization in Granger, IN (NPI 1174187553).
Provider details
- NPI number
- 1174187553
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Andrea Krupa, Exec Directory of Pharmacy(574) 239-1461
Specialties & taxonomies
Suppliers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
52500 Fir Rd
Granger, IN 46530-8579
Phone: (574) 204-7260
Street-level locationGet directions
Mailing address
211 N Eddy St
South Bend, IN 46617-3096
Other names (DBA / former)
- Doing business as
- The South Bend Clinic Pharmacy at Granger
Registry dates
- Enumerated
- 2019-05-01
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Frequently asked questions
- What is The South Bend Clinic LLC's NPI number?
- The South Bend Clinic LLC's National Provider Identifier (NPI) is 1174187553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The South Bend Clinic LLC?
- The South Bend Clinic LLC is classified in the NPPES registry as Clinic Pharmacy (Suppliers).
- Where is The South Bend Clinic LLC located?
- The South Bend Clinic LLC's practice location on file with NPPES is 52500 Fir Rd, Granger, IN 46530-8579.
- What is The South Bend Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for The South Bend Clinic LLC is (574) 204-7260.
- Who is the authorized official for The South Bend Clinic LLC?
- The authorized official listed on The South Bend Clinic LLC's NPPES record is Andrea Krupa, Exec Directory of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The South Bend Clinic LLC's NPI active?
- Yes — The South Bend Clinic LLC's NPI (1174187553) is active in the NPPES registry as of the last update on 2024-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.