Individual provider Active NPI

Xiangyu Wang, RPH

  • Pharmacist
  • South Bend, IN
National Provider Identifier
1508738113
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26031467A Issued in IN
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

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26031467AINMDPharmacist

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.

Verify at the official NPI Registry.