Organization Active NPI

Fred W Albrecht Grocery Co

Doing business as Acme Pharmacy

  • Community/Retail Pharmacy
  • Akron, OH
National Provider Identifier
1669641064
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FRED W ALBRECHT GROCERY CO
Doing business as
Acme Pharmacy
Practice address
2700 Gilchrist Rd
Pharmacy
Akron, OH 44305-4433
Phone
(330) 733-2263
Fax
(330) 733-3640
NPI assigned
Feb 29, 2008
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeff McDougal, RPH
Title
Director of Pharmacy Operations
Phone
(330) 733-2263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2700 Gilchrist Rd
Pharmacy
Akron, OH 44305-4433

Mailing address

2700 Gilchrist Rd
Pharmacy
Akron, OH 44305-4433
Phone (330) 733-2263

Other identifiers 1

IdentifierTypeStateIssuer
90801OtherOHMEDICARE MASS IMMUNIZATIO

Other names 1

  • Acme Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013000322 OH Part B Supplier - Mass Immunization (Roster Biller Only) 2365402518 18 other NPIs on this enrollment
Practice locations: Uniontown, OH; Akron, OH; Tallmadge, OH; Stow, OH; Parma, OH; Norton, OH; North Canton, OH; Medina, OH…

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory
Tax ID family
Acme Pharmacy11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2700 Gilchrist Rd
Akron, OH 44305
Phone (330) 733-2263

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1669641064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GILCHRIST RD",
            "address_2": "PHARMACY",
            "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": "2700 GILCHRIST RD",
            "address_2": "PHARMACY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443054433",
            "telephone_number": "330-733-2263",
            "fax_number": "330-733-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED W ALBRECHT GROCERY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "330-733-2263",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZATIO",
            "identifier": "90801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acme Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acme Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, 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.

Verify at the official NPI Registry.