Active NPI
Fred W Albrecht Grocery Company
- Pharmacy
- Stow, OH
National Provider Identifier
1669487591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 020124550
- Legal business name
- FRED W ALBRECHT GROCERY COMPANY
- Practice address
- 4445 Kent Rd
Stow, OH 44224-4332 - Phone
- (330) 673-1559
- Fax
- (330) 673-5020
- NPI assigned
- Jul 29, 2006
- 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
- Jeffrey McDougal
- Title
- Director of Pharmacy
- Phone
- (330) 733-2263
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 020124550 | OH | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
4445 Kent Rd
Stow, OH 44224-4332
Mailing address
2700 Gilchrist Rd
Akron, OH 44305-4433
Phone (330) 733-2263
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0207378 | Medicaid | OH | |
| 3609887 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- ACME PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041013000322 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365402518 |
18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Uniontown, OH; Akron, OH; Tallmadge, OH; Stow, OH; Parma, OH; Norton, OH; North Canton, OH; Medina, OH… |
Other NPIs on the same Medicare enrollment 17
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1669487591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 GILCHRIST RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443054433",
"telephone_number": "330-733-2263",
"fax_number": "330-733-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 KENT RD",
"city": "STOW",
"state": "OH",
"postal_code": "442244332",
"telephone_number": "330-673-1559",
"fax_number": "330-673-5020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED W ALBRECHT GROCERY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "MCDOUGAL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "330-733-2263"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": "020124550",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207378",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3609887",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ACME PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.