SELF-ISH RX – NPI #1053260844
Clinic/Center

SELF-ISH RX is an AHC clinic located in MICHIGAN CITY, IN. NPPES has assigned the NPI number 1053260844 to SELF-ISH RX on January 24, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SELF-ISH RX below.

NPI Profile for
SELF-ISH RX

NPI Number
1053260844
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SELF-ISH RX
Primary location
219 E 9TH ST
MICHIGAN CITY, IN 46360-3523
Phone: (219) 877-9353 Fax:
Mailing address
5475 BROADWAY UNIT A300
MERRILLVILLE, IN 46410-1647
Phone: (219) 877-9353 Fax:
Organization Subpart
No
Authorized Official
DANNON MARTIN WALKER
OWNER/AUTHORIZED OFFICIAL
Phone: (219) 877-9353
Updated
Certification Date
Jan 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.