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: July 19, 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.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225220528, enumerated as an "organization" on August 10, 2007.

The provider is located at 12850 STATE ROAD 23 GRANGER, IN 46530 and the phone number is (574) 807-8234.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.