NPIMap

Organization Active NPI

Acme Markets Inc

  • Community/Retail Pharmacy
  • Allendale, NJ
National Provider Identifier
1821508367
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00525100 Issued in NJ
Legal business name
ACME MARKETS INC
Practice address
45 De Mercurio Dr
Allendale, NJ 07401-1711
Phone
(201) 934-3333
Fax
(201) 934-3361
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Sunny Yost
Title
Pharmacy Enrollment Specialist
Phone
(208) 395-3920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 28RS00525100 NJ Primary

Addresses

Primary practice location

45 De Mercurio Dr
Allendale, NJ 07401-1711

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Other identifiers 1

IdentifierTypeStateIssuer
0505773MedicaidNJ

Other names 1

  • ACME PHARMACY #1095 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2256111Acme Pharmacy #109545 De Mercurio Dr, Allendale, NJ 07401Certificate of waiverMar 20, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Acme Markets Inc.45 De Mercurio Dr, Allendale, NJ 07401-1711(201) 934-3333 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 Does not accept assignmentParticipating since Oct 15, 2007

National Provider Directory

National Provider Directory
Tax ID family
Acme Markets Inc159 organizations share this tax ID, including this one

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.

View all 24

Locations

45 De Mercurio Dr
Allendale, NJ 07401
Phone (201) 934-3333

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1821508367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DE MERCURIO DR",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011711",
            "telephone_number": "201-934-3333",
            "fax_number": "201-934-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACME MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_title_or_position": "PHARMACY ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "208-395-3920"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00525100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0505773",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACME PHARMACY #1095",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allendale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.