Active NPI
Acme Markets Inc
Doing business as Acme Pharmacy #2833
- Community/Retail Pharmacy
- Philadelphia, PA
National Provider Identifier
1164899191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP415673L
- Legal business name
- ACME MARKETS INC
- Doing business as
- Acme Pharmacy #2833
- Practice address
- 7700 Crittenden St
Philadelphia, PA 19118 - Phone
- (215) 247-3900
- Fax
- (215) 247-1061
- NPI assigned
- Aug 25, 2015
- Last updated
- Aug 14, 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
- Tiffany Eliopulos
- Title
- Assistant Manager, Enrollments
- Phone
- (208) 395-3906
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP415673L | PA | Primary |
Addresses
Primary practice location
7700 Crittenden St
Philadelphia, PA 19118
Mailing address
250 E Parkcenter Blvd
Mailstop Sec2-B
Boise, ID 83706-3940
Phone (208) 395-3920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2154447 | Other | PK | |
| 1007619290101 | Medicaid | PA |
Other names 1
- ACME PHARMACY #2833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160222001217 | PA | DME Supplier - Pharmacy | 4082674940 | Practice locations: Philadelphia, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2128211 | Acme Pharmacy #2833 | Certificate of waiver | Mar 27, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Acme Markets Inc. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Acme Markets Inc
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- West Chester, PA
- NPI 1104872100
-
dba Acme Pharmacy #3719
- Community/Retail Pharmacy
- Cornwells Heights, PA
- NPI 1205882206
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Sav-On Pharmacy #3174
- Community/Retail Pharmacy
- Ammon, ID
- NPI 1922055383
Member Of
-
dba Safeway Phamracy #4837
- Community/Retail Pharmacy
- District Heights, MD
- NPI 1588600191
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534204800000",
"number": "1164899191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E PARKCENTER BLVD",
"address_2": "MAILSTOP SEC2-B",
"city": "BOISE",
"state": "ID",
"postal_code": "837063940",
"telephone_number": "208-395-3920",
"fax_number": "623-282-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 CRITTENDEN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19118",
"telephone_number": "215-247-3900",
"fax_number": "215-247-1061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACME MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-25",
"last_updated": "2018-08-14",
"status": "A",
"authorized_official_last_name": "ELIOPULOS",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "ASSISTANT MANAGER, ENROLLMENTS",
"authorized_official_telephone_number": "208-395-3906"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP415673L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2154447",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007619290101",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACME PHARMACY #2833",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
- Amanda M Ackermann, MD, PHD
- Lily L. Somwaru Ackermann, M.D.
- Jason Thomas Ackrivo, MD
- Acme Markets Inc (Acme Pharmacy #0114)
- Acme Markets Inc (Acme Pharmacy #4715)
- Acme Markets Inc (Acme Pharmacy #2704)
- Acme Markets Inc (Sav-on Pharmacy #2762)
- Acme Markets Inc (Acme Pharmacy #0291)
- Acme Markets Inc (Acme Pharmacy #0299)
- Acme Markets Inc (Sav-on Pharmacy #0787)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.