Wellformed AI

NPI 1407803968 · live from the CMS NPI Registry

Acme Markets INC

Pharmacy, Community/Retail Pharmacy in Broomall, PA. National Provider Identifier 1407803968, active.

NPI record

NPI1407803968 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location1991 Sproul Rd Ste 11, Broomall, PA 19008
Practice phone610-356-3504
Mailing address250 E Parkcenter Blvd, Mailstop Swc2-D, Boise, ID 83706
EnumeratedMay 30, 2006
Last updatedJune 2, 2026
Authorized officialKathy Giannakopoulos, Enrollments Manager
Other namesAcme Pharmacy #3798

Taxonomies and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies332B00000X—
Pharmacy333600000X—
Pharmacy, Community/Retail Pharmacy primary3336C0003XPP481211 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.