Acme Markets Inc

Key facts

NPI

1003340100

Entity type

Organization (NPI type 2)

Primary specialty

Registered Dietitian 133V00000X

Legal business name

ACME MARKETS INC

Practice address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Phone

(208) 395-3963

Fax

(623) 336-6363

NPI assigned

Apr 14, 2017

Organization subpart

No

Authorized official

Name

Demond Hawkins

Title

Third Party Manager

Phone

(208) 395-3905

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Acme Markets Inc Community/Retail Pharmacy · Boise, ID · NPI 1558452185
  NPD tax ID

National Provider Directory

Tax ID family

Acme Markets Inc (159 organizations share this tax ID)

Specialties & licenses

Addresses

Other identifiers

Other names

• ACME PHARMACY Doing business as
• SAV-ON PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2018.

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1003340100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940",
            "telephone_number": "208-395-3963",
            "fax_number": "623-336-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940",
            "telephone_number": "208-395-3963",
            "fax_number": "623-336-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Franklin Tpke",
            "address_purpose": "LOCATION",
            "city": "Mahwah",
            "state": "NJ",
            "postal_code": "074301341",
            "country_code": "US",
            "telephone_number": "201-512-9332",
            "fax_number": "201-512-0149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 E City Line Ave",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190042448",
            "country_code": "US",
            "telephone_number": "610-667-7051",
            "fax_number": "610-667-8198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACME MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "DEMOND",
        "authorized_official_title_or_position": "THIRD PARTY MANAGER",
        "authorized_official_telephone_number": "208-395-3905"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00512000",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP415715L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PRACTICE PROVIDER NO",
            "identifier": "APPLIED FOR",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACME PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAV-ON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAV-ON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

• Jerrod Ackerman
• Robert Ackerman, D.D.S.
• Aaron Ackerson, ACNPC-AG
• Matthew Ryan Ackley, PMHNP
• Nicole Lynn Ackley, PHYSICIAN ASSISTANT
• Acme Markets Inc
• Lena Acosta, LPC
• Action Therapy
• Active Chiropractic, PC
• Active Living Chiropractic & Wellness LLC

All providers in Boise, ID · Registered Dietitian in Idaho