Organization
MSM HOLDCO, LLC
Active
Organization
MSM HOLDCO, LLC
Active
Other names
Martin's Pharmacy #2326, Martin's Super Markets, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ELLIS RPH (DIRECTOR OF PHARMACY)
(616) 878-2848
Entity
Organization
Contact information
Practice address
1150 HUSKY TRL, WARSAW, IN 46582-1952
(574) 371-9080
(574) 371-9081
Mailing address
1527 MOMENTUM PLACE, CHICAGO, IL 60689-5315
(616) 878-8584
(574) 371-9081
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60006233A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1563089
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/15/2010
Last updated
12/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up