MARTIN'S PHARMACY AT SJRMC
NPI 1629525738
Pharmacy - Community/Retail Pharmacy in Mishawaka, IN

Q: What is Msm Holdco, LLC's NPI number?

The NPI number for Msm Holdco, LLC is 1629525738. It was assigned to this organization in the NPPES registry on September 7, 2016. The provider is doing business as Martin's Pharmacy At Sjrmc and Martin's Pharmacy #2389. The provider was formerly known as Martin's Super Markets Inc.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Msm Holdco, LLC was last updated on December 7, 2023. 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.

Active since September 07, 2016

611 E DOUGLAS RD STE 104, MISHAWAKA, IN 46545(574) 247-1000(574) 208-6020 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

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About Martin's Pharmacy At Sjrmc NPPES

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

MARTIN'S PHARMACY AT SJRMC (NPI 1629525738) is a healthcare organization registered as a community/retail pharmacy in Mishawaka, Indiana and active in the NPI registry since September 2016. The organization lists Amy Ellis, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1629525738

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMSM HOLDCO, LLC

Location Address611 E DOUGLAS RD STE 104Mishawaka, IN 46545-1480

Mailing Address1527 Momentum PlaceChicago, IL 60689-5315 · (616) 878-8584 · Fax (574) 208-6020

Phone(574) 247-1000

Fax(574) 208-6020

Organization SubpartNo

Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848

Enumeration DateSeptember 7, 2016

Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 7, 2023

✔ NPI 1629525738 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 · 60006269A

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.

611 E DOUGLAS RD STE 104, Mishawaka, IN 46545

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Other Names 3

Doing Business AsMartin's Pharmacy At Sjrmc

Doing Business AsMartin's Pharmacy #2389

Former Legal Business NameMartin's Super Markets Inc

Other Identifiers 1

Other2163717Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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.

SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.

Pharmacy (Community/Retail Pharmacy)

611 E DOUGLAS RD STE 104
MISHAWAKA, IN 46545

St. Joseph County (574) 335-3400

REGINALD WENSEL R.PH.

Pharmacist

611 E DOUGLAS RD STE 104
MISHAWAKA, IN 46545

St. Joseph County (574) 247-1000

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 1629525738. It was assigned to this organization in the NPPES registry on September 7, 2016. The provider is doing business as Martin's Pharmacy At Sjrmc and Martin's Pharmacy #2389. The provider was formerly known as Martin's Super Markets Inc.

Where is Msm Holdco, LLC located?

Msm Holdco, LLC is located at 611 E Douglas Rd Ste 104, Mishawaka, IN 46545. The listed phone number is (574) 247-1000.

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 December 7, 2023. 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.