NPI 1629445655 · live from the CMS NPI Registry
Acme Markets INC
Pharmacy, Community/Retail Pharmacy in Philadelphia, PA. National Provider Identifier 1629445655, active.
NPI record
| NPI | 1629445655 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 2101 Cottman Ave, #41, Philadelphia, PA 19149 |
| Practice phone | 215-728-1015 |
| Mailing address | 250 E Parkcenter Blvd, Mailstop Sec2-B, Boise, ID 83706 |
| Enumerated | August 25, 2015 |
| Last updated | July 24, 2018 |
| Authorized official | Tiffany Eliopulos, Assistant Manager, Enrollments |
| Other names | Acme Pharmacy #0299 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | PP415281L (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.