Acme Markets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00530900 Issued in NJ

Legal business name

ACME MARKETS INC

Practice address

481 River Rd
Edgewater, NJ 07020

Phone

(201) 840-7764

Fax

(201) 840-7786

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• ACME PHARMACY #1777 Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Haggen Opco North LLC

  • Community/Retail Pharmacy
  • Grants Pass, OR
  • NPI 1063468064

  Member Of

  NPD member
• Safeway Inc

  • Community/Retail Pharmacy
  • Sunnyside, WA
  • NPI 1861421885

  Member Of

  NPD member

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1174990907",
    "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": "481 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "07020",
            "telephone_number": "201-840-7764",
            "fax_number": "201-840-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACME MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "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": "NJ",
            "license": "28RS00530900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0517585",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACME PHARMACY #1777",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aap Medical Consulting LLC
• Samir Isa Abdelhadi, DO
• Shereen Abdelwahab, PHARMD
• Jocelyn Abraham, MD, MPH
• Maura Acevedo, PHARMD.
• Acme Markets Inc
• Active Health Physical Therapy
• Acugenie LLC
• Adam Alex, LLC
• Irfan Admani

• Community/Retail Pharmacy in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.