Organization Active NPI

Self-Ish RX

  • Urgent Care Clinic/Center
  • Michigan City, IN
National Provider Identifier
1053260844
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SELF-ISH RX
Practice address
219 E 9TH St
Michigan City, IN 46360-3523
Phone
(219) 877-9353
NPI assigned
Jan 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Dannon Rae Martin Walker, PA-CNPI 1659743979
Title
Owner/Authorized Official
Phone
(219) 877-9353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

219 E 9TH St
Michigan City, IN 46360-3523

Mailing address

5475 Broadway Unit A300
Merrillville, IN 46410-1647
Phone (219) 877-9353

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769212800000",
    "number": "1053260844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 BROADWAY UNIT A300",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101647",
            "telephone_number": "219-877-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E 9TH ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603523",
            "telephone_number": "219-877-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-ISH RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN WALKER",
        "authorized_official_first_name": "DANNON",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "219-877-9353",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.