Active NPI
Fred W Albrecht Grocery Co
- Pharmacy
- Akron, OH
National Provider Identifier
1013922947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 020163300
- Legal business name
- FRED W ALBRECHT GROCERY CO
- Practice address
- 1835 W Market St
Akron, OH 44313-7028 - Phone
- (330) 867-2740
- Fax
- (330) 867-3454
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey McDougal, RPH
- Title
- Director of Pharmacy Operations
- Phone
- (330) 733-2263
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 020163300 | OH | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1835 W Market St
Akron, OH 44313-7028
Mailing address
2700 Gilchrist Rd
Akron, OH 44305-4433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3636339 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 0420646 | Medicaid | OH |
Other names 1
- ACME PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041013000322 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365402518 |
18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Uniontown, OH; Akron, OH; Tallmadge, OH; Stow, OH; Parma, OH; Norton, OH; North Canton, OH; Medina, OH… |
Other NPIs on the same Medicare enrollment 17
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1835 W Market St
Akron, OH 44313
Phone (330) 867-2740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1013922947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 GILCHRIST RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443054433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 W MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443137028",
"telephone_number": "330-867-2740",
"fax_number": "330-867-3454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED W ALBRECHT GROCERY CO",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "MCDOUGAL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
"authorized_official_telephone_number": "330-733-2263",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": "020163300",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3636339",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0420646",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACME PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.