Active NPI
Acme Markets Inc
Doing business as Acme Pharmacy #0295
- Community/Retail Pharmacy
- Seaside Heights, NJ
National Provider Identifier
1588031520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00400600
- Legal business name
- ACME MARKETS INC
- Doing business as
- Acme Pharmacy #0295
- Practice address
- 4030 Route 37 E Ste 3F
Seaside Heights, NJ 08751-1659 - Phone
- (732) 830-0800
- Fax
- (732) 830-4863
- NPI assigned
- Aug 25, 2015
- Last updated
- Nov 16, 2022
- 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 | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 28RS00400600 | NJ | Primary |
Addresses
Primary practice location
4030 Route 37 E Ste 3F
Seaside Heights, NJ 08751-1659
Mailing address
250 E Parkcenter Blvd
Mailstop Sec2-B
Boise, ID 83706-3940
Phone (208) 395-3920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0521558 | Medicaid | NJ | |
| 2154436 | Other | PK |
Other names 1
- ACME PHARMACY #0295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160212002512 | NJ | DME Supplier - Pharmacy | 4082674940 | Practice locations: Seaside Heights, NJ |
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 |
|---|---|---|---|
| 31D2256118 | Acme Pharmacy #0295 | Certificate of waiver | Mar 20, 2028 |
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|Diabetic Shoes and Inserts | 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 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
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": "1668556800000",
"number": "1588031520",
"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": "4030 ROUTE 37 E STE 3F",
"city": "SEASIDE HEIGHTS",
"state": "NJ",
"postal_code": "087511659",
"telephone_number": "732-830-0800",
"fax_number": "732-830-4863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACME MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-25",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"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": "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": "NJ",
"license": "28RS00400600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0521558",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2154436",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACME PHARMACY #0295",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seaside Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.