Acme Markets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RS05961 Issued in NJ

Legal business name

ACME MARKETS INC

Practice address

300 Ryders LN
Milltown, NJ 08850-1706

Phone

(732) 254-6760

Fax

(732) 254-8320

NPI assigned

May 25, 2006

Last updated

Jan 19, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

SUPERVALU INCAs reported in NPPES

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

Authorized official

Name

Demond Hawkins

Title

Third Party Manager

Phone

(208) 395-3905

Specialties & licenses 3

Addresses

Other identifiers 2

Part of

Supervalu Inc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Albertsons LLC

  dba Sav-On Pharmacy #3174

  • Community/Retail Pharmacy
  • Ammon, ID
  • NPI 1922055383

  Member Of

  NPD member
• Safeway Inc

  dba Safeway Phamracy #4837

  • Community/Retail Pharmacy
  • District Heights, MD
  • NPI 1588600191

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1720034713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 CULLERTON ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RYDERS LN",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501706",
            "telephone_number": "732-254-6760",
            "fax_number": "732-254-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACME MARKETS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUPERVALU INC",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "DEMOND",
        "authorized_official_title_or_position": "THIRD PARTY MANAGER",
        "authorized_official_telephone_number": "208-395-3905"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "RS05961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3143093",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8713103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Abraham, RN
• Accucare Medical & Pain Management Ctr of NJ, PC
• Nina Mercedes Acosta, DPT
• Advanced RX Solutions LLC (Milltown Pharmacy)
• Advanced RX Solutions LLC
• Alison Henry (Milltown Pharmacy)
• Mai Aly, PHARMD

• Community/Retail Pharmacy in Milltown, NJ
• Providers in Milltown, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.

Verify at the official NPI Registry.