Acme Markets Inc
Organization Active NPI Community/Retail Pharmacy · West Deptford, NJ
NPI 1376054783 · NPPES record last updated Nov 7, 2018
Key facts
- NPI
- 1376054783
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 28RS00494100 (NJ)
- Legal business name
- ACME MARKETS INC
- Practice address
- 631 Mantua Pike
West Deptford, NJ 08096-3234 - Phone
- (856) 848-3129
- Fax
- (856) 251-9287
- NPI assigned
- Oct 12, 2017
- Organization subpart
- No
Authorized official
- Name
- Tiffany Eliopulos
- Title
- Assistant Manager, Enrollments
- Phone
- (208) 395-3906
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Acme Markets Inc
Locations
631 Mantua Pike
West Deptford, NJ 08096
Phone (856) 848-0224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00494100 | NJ | Yes |
Addresses
Primary practice location
631 Mantua Pike
West Deptford, NJ 08096-3234
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6179100 | Medicaid | NJ |
Other names
- SAV-ON PHARMACY #3970
Other providers in West Deptford, NJ
- A Serene Life LLC
- Acme Markets Inc
- Advocare, LLC
- Aeris Consulting & Management, LLC
- Agr Professional Counseling Services
- Colleen Anna Albright
All providers in West Deptford, NJ · Community/Retail Pharmacy in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.