Organization Active NPI

Acme Markets Inc

Doing business as Acme Pharmacy

  • Registered Dietitian
  • Boise, ID
National Provider Identifier
1003340100
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ACME MARKETS INC
Doing business as
Acme Pharmacy
Sav-on Pharmacy
Practice address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone
(208) 395-3963
Fax
(623) 336-6363
NPI assigned
Apr 14, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Demond Hawkins
Title
Third Party Manager
Phone
(208) 395-3905

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Community/Retail Pharmacy 3336C0003X 28RS00512000 NJ
Community/Retail Pharmacy 3336C0003X PP415715L PA

Addresses

Primary practice location

250 E Parkcenter Blvd
Boise, ID 83706-3940

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940
Phone (208) 395-3963

Other practice location 1

125 Franklin Tpke
Mahwah, NJ 07430-1341
Phone (201) 512-9332

Other practice location 2

121 E City Line Ave
Bala Cynwyd, PA 19004-2448
Phone (610) 667-7051

Other names 2

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

National Provider Directory

National Provider Directory
Tax ID family
Acme Markets Inc158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "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": [],
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.