OrganizationActive
Msm Holdco, LLC
NPI 1366693665 · Community/Retail Pharmacy · Mishawaka, IN
Msm Holdco, LLC is a Community/Retail Pharmacy organization in Mishawaka, IN (NPI 1366693665).
Provider details
- NPI number
- 1366693665
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amy Ellis, Director of Pharmacy(616) 878-2848
- License
- 60006166A (IN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
314 N Ironwood Dr
Mishawaka, IN 46544-1543
Phone: (574) 254-2323
Fax: (574) 254-2320
Street-level locationGet directions
Mailing address
1527 Momentum Place
Chicago, IL 60689-5315
Other names (DBA / former)
- Doing business as
- Martin'S Pharmacy #2304
- Doing business as
- Martins Pharmacy #4
- Former legal business name
- Martins Super Markets Inc
Registry dates
- Enumerated
- 2008-10-06
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Frequently asked questions
- What is Msm Holdco, LLC's NPI number?
- Msm Holdco, LLC's National Provider Identifier (NPI) is 1366693665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Msm Holdco, LLC?
- Msm Holdco, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Msm Holdco, LLC located?
- Msm Holdco, LLC's practice location on file with NPPES is 314 N Ironwood Dr, Mishawaka, IN 46544-1543.
- What is Msm Holdco, LLC's phone number?
- The practice phone number listed in the NPPES registry for Msm Holdco, LLC is (574) 254-2323.
- Who is the authorized official for Msm Holdco, LLC?
- The authorized official listed on Msm Holdco, LLC's NPPES record is Amy Ellis, Director of Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Msm Holdco, LLC's NPI active?
- Yes — Msm Holdco, LLC's NPI (1366693665) is active in the NPPES registry as of the last update on 2024-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.