Active NPI
Acme Markets Inc
- Community/Retail Pharmacy
- West Chester, PA
National Provider Identifier
1104872100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP481390L
- Legal business name
- ACME MARKETS INC
- Practice address
- 720 Downingtown Pike
West Chester, PA 19380-1966 - Phone
- (610) 429-5290
- Fax
- (610) 429-3985
- NPI assigned
- May 25, 2006
- Last updated
- Jan 19, 2018
- 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
- Demond Hawkins
- Title
- Third Party Manager
- Phone
- (208) 395-3905
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PP481390L | PA | Primary |
Addresses
Primary practice location
720 Downingtown Pike
West Chester, PA 19380-1966
Mailing address
3030 Cullerton St
Franklin Park, IL 60131-2205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3983334 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 1007619290092 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Acme Markets Inc
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Acme Pharmacy #3719
- Community/Retail Pharmacy
- Cornwells Heights, PA
- NPI 1205882206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516320000000",
"number": "1104872100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 CULLERTON ST",
"city": "FRANKLIN PARK",
"state": "IL",
"postal_code": "601312205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 DOWNINGTOWN PIKE",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193801966",
"telephone_number": "610-429-5290",
"fax_number": "610-429-3985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACME MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2018-01-19",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP481390L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3983334",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007619290092",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.