Active NPI
Healthlinc Pharmacy LLC
- Clinic Pharmacy
- Mishawaka, IN
National Provider Identifier
1922648476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- HEALTHLINC PHARMACY LLC
- Practice address
- 420 W 4TH St
Mishawaka, IN 46544-1948 - Phone
- (574) 307-7673
- NPI assigned
- Jan 13, 2020
- Organization subpart
- Yes
- Parent organization
- HEALTHLINC, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Mitchell
- Title
- Ceo
- Phone
- (219) 465-9503
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
420 W 4TH St
Mishawaka, IN 46544-1948
Mailing address
2401 Valley Dr
Valparaiso, IN 46383-2520
Phone (219) 462-7173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210122001689 | IN | Part B Supplier - Pharmacy | 0244644805 |
3 other NPIs on this enrollment Practice locations: Mishawaka, IN; Valparaiso, IN; Michigan City, IN; East Chicago, IN |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Healthlinc Pharmacy LLC
- Part of
- Healthlinc Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic Pharmacy
- Valparaiso, IN
- NPI 1326603325
-
- Clinic Pharmacy
- East Chicago, IN
- NPI 1891561262
-
- Clinic Pharmacy
- Michigan City, IN
- NPI 1689440604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705017600000",
"number": "1922648476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 VALLEY DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832520",
"telephone_number": "219-462-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W 4TH ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441948",
"telephone_number": "574-307-7673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHLINC PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTHLINC, INC.",
"enumeration_date": "2020-01-13",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "219-465-9503"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.