MARTIN'S PHARMACY #16
NPI 1225220528
Pharmacy - Community/Retail Pharmacy in Granger, IN

Active since August 10, 2007
12850 STATE ROAD 23, GRANGER, IN 46530(574) 807-8234(574) 807-8232 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2023, Nov 23, 2020 (2 updates tracked since 2020).

About Martin's Pharmacy #16 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN'S PHARMACY #16 (NPI 1225220528) is a healthcare organization registered as a community/retail pharmacy in Granger, Indiana and active in the NPI registry since August 2007. The organization lists Amy Ellis, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1225220528
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMSM HOLDCO, LLC
Location Address12850 STATE ROAD 23Granger, IN 46530-7183
Mailing Address1527 Momentum PlaceChicago, IL 60689-5315 · (616) 878-8584
Fax(574) 807-8232
Organization SubpartNo
Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848
Enumeration DateAugust 10, 2007
Last NPPES UpdateJanuary 8, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2024
NPI 1225220528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in IN · 60006073A
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
12850 STATE ROAD 23, Granger, IN 46530

Other Names 3

Doing Business AsMartin's Pharmacy #16
Doing Business AsMartin's Pharmacy #2316
Former Legal Business NameMartin's Super Market, Inc.

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
12850 STATE ROAD 23
GRANGER, IN 46530
Pharmacy (Community/Retail Pharmacy)
12850 STATE ROAD 23
GRANGER, IN 46530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Msm Holdco, LLC's NPI number?

The NPI number for Msm Holdco, LLC is 1225220528. It was assigned to this organization in the NPPES registry on August 10, 2007. The provider is doing business as Martin's Pharmacy #16 and Martin's Pharmacy #2316. The provider was formerly known as Martin's Super Market, Inc..

Where is Msm Holdco, LLC located?

Msm Holdco, LLC is located at 12850 State Road 23, Granger, IN 46530. The listed phone number is (574) 807-8234.

What is Msm Holdco, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Msm Holdco, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Msm Holdco, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Msm Holdco, LLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.