NPIMap

Organization Active NPI

Fred W Albrecht Grocery Co

  • Pharmacy
  • Canton, OH
National Provider Identifier
1922013853
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
020185900 Issued in OH
Legal business name
FRED W ALBRECHT GROCERY CO
Practice address
2905 Whipple Ave NW
Canton, OH 44708-1533
Phone
(330) 478-1821
Fax
(330) 478-8458
NPI assigned
Jul 29, 2006
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
Jeffrey McDougal
Title
Director of Pharmacy
Phone
(330) 733-2263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 020185900 OH Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2905 Whipple Ave NW
Canton, OH 44708-1533

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0488637MedicaidOH
3639272OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • ACME PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…
O20100930013545 OH DME Supplier - Pharmacy 2365402518 Practice locations: Canton, 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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Fred W Albrecht Grocery Co2905 Whipple Ave NW, Canton, OH 44708-1533(330) 478-1821 Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jan 1, 1993

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI 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": "1922013853",
    "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": "2905 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081533",
            "telephone_number": "330-478-1821",
            "fax_number": "330-478-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED W ALBRECHT GROCERY CO",
        "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": "020185900",
            "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": "0488637",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3639272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACME PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, 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.
  • 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.