Active NPI
Acme Markets Inc
Doing business as Acme Pharmacy #1058
- Community/Retail Pharmacy
- Mahwah, NJ
National Provider Identifier
1356851091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00512000
- Legal business name
- ACME MARKETS INC
- Doing business as
- Acme Pharmacy #1058
- Practice address
- 125 Franklin Tpke
Mahwah, NJ 07430-1341 - Phone
- (201) 529-9760
- Fax
- (201) 529-9767
- NPI assigned
- Oct 9, 2017
- Last updated
- Nov 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00512000 | NJ | Primary |
Addresses
Primary practice location
125 Franklin Tpke
Mahwah, NJ 07430-1341
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0517615 | Medicaid | NJ |
Other names 1
- ACME PHARMACY #1058
National Provider Directory
National Provider Directory- Tax ID family
- Acme Markets Inc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Sav-on Pharmacy #7852
- Community/Retail Pharmacy
- Mays Landing, NJ
- NPI 1134638158
Locations
125 Franklin Tpke
Mahwah, NJ 07430
Phone (201) 512-9332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541548800000",
"number": "1356851091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E PARKCENTER BLVD",
"city": "BOISE",
"state": "ID",
"postal_code": "837063940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 FRANKLIN TPKE",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074301341",
"telephone_number": "201-529-9760",
"fax_number": "201-529-9767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACME MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-09",
"last_updated": "2018-11-07",
"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": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00512000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0517615",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACME PHARMACY #1058",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mahwah, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.