Active NPI
Xiangyu Wang, RPH
- Pharmacist
- South Bend, IN
National Provider Identifier
1508738113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26031467A
- Practice address
- 2210 Edison Rd
South Bend, IN 46615-3514 - Phone
- (574) 472-3234
- NPI assigned
- Sep 22, 2025
- Sex
- Male
- 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 | 26031467A | IN | Primary |
Addresses
Primary practice location
2210 Edison Rd
South Bend, IN 46615-3514
Mailing address
7411 Aspect Dr Unit 117
Granger, IN 46530-7755
Phone (929) 307-7487
Other practice location 1
210 N Main St
Mishawaka, IN 46544-1411
Phone (574) 259-1130
Other practice location 2
900 E Bristol St
Elkhart, IN 46514-3624
Phone (574) 206-8476
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26031467A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1508738113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 ASPECT DR UNIT 117",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307755",
"telephone_number": "929-307-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 EDISON RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466153514",
"telephone_number": "574-472-3234"
}
],
"practiceLocations": [
{
"address_1": "210 N Main St",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465441411",
"country_code": "US",
"telephone_number": "574-259-1130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 E Bristol St",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465143624",
"country_code": "US",
"telephone_number": "574-206-8476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "XIANGYU",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26031467A",
"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 Sep 22, 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.