Active NPI
Lisa Ribble I, BS, PHARMD
- Pharmacist
- South Bend, IN
National Provider Identifier
1114901600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26019522A
- Practice address
- 801 E Lasalle Ave
South Bend, IN 46617-2814 - Phone
- (574) 237-7688
- Fax
- (574) 236-5005
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26019522A | IN | Primary |
Addresses
Primary practice location
801 E Lasalle Ave
South Bend, IN 46617-2814
Mailing address
16045 Baywood LN
Granger, IN 46530-9179
Phone (574) 273-4974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26019522A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114901600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16045 BAYWOOD LN",
"city": "GRANGER",
"state": "IN",
"postal_code": "465309179",
"telephone_number": "574-273-4974",
"fax_number": "574-236-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E LASALLE AVE",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172814",
"telephone_number": "574-237-7688",
"fax_number": "574-236-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIBBLE",
"first_name": "LISA",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "BS, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019522A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.