NPIMap

Organization Active NPI

Meridian Health RX LLC

Doing business as Meridian Health Rx - Ft. Wayne Lake

  • Community/Retail Pharmacy
  • Fort Wayne, IN
National Provider Identifier
1093606808
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERIDIAN HEALTH RX LLC
Doing business as
Meridian Health Rx - Ft. Wayne Lake
Practice address
2622 Lake Ave Ste 102
Fort Wayne, IN 46805-5410
Phone
(260) 399-3809
Fax
(260) 800-5754
NPI assigned
Jul 10, 2025
Organization subpart
Yes
Parent organization
MERIDIAN HEALTH RX LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Riggs
Title
Cfo
Phone
(765) 254-5189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2622 Lake Ave Ste 102
Fort Wayne, IN 46805-5410

Mailing address

1620 W Northwest Hwy Ste 100
Grapevine, TX 76051-3219

Other names 1

  • Meridian Health Rx - Ft. Wayne Lake Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Meridian Health RX LLC6 organizations share this tax ID, including this one
Part of
Meridian Health RX LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2622 Lake Ave
Ste 102
Fort Wayne, IN 46805
Phone (260) 399-3809

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1093606808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W NORTHWEST HWY STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 LAKE AVE STE 102",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055410",
            "telephone_number": "260-399-3809",
            "fax_number": "260-800-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HEALTH RX LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN HEALTH RX LLC",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "765-254-5189"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Health Rx - Ft. Wayne Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.