NPIMap

Organization Active NPI

Fred W Albrecht Grocery Company

Doing business as Acme Pharmacy

  • Pharmacy
  • North Canton, OH
National Provider Identifier
1104831031
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
020155500 Issued in OH
Legal business name
FRED W ALBRECHT GROCERY COMPANY
Doing business as
Acme Pharmacy
Practice address
1474 N Main St
North Canton, OH 44720-1640
Phone
(330) 497-0645
Fax
(330) 497-8402
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Jeff McDougal
Title
Director of Pharmacy Operations
Phone
(330) 733-2263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 020155500 OH Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1474 N Main St
North Canton, OH 44720-1640

Mailing address

2700 Gilchrist Rd
Akron, OH 44305-4433
Phone (330) 733-2263

Other identifiers 2

IdentifierTypeStateIssuer
0389020MedicaidOH
3634929OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • ACME PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

View all 17

National Provider Directory

National Provider Directory

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": "1104831031",
    "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",
            "telephone_number": "330-733-2263",
            "fax_number": "330-733-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201640",
            "telephone_number": "330-497-0645",
            "fax_number": "330-497-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED W ALBRECHT GROCERY COMPANY",
        "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": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "330-733-2263"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "020155500",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0389020",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3634929",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACME PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Canton, 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.

Verify at the official NPI Registry.