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NPI Code Detail

MEDICARE: ACME MARKETS INC

MEDICARE: ACME MARKETS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy28RS00598200NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22054818OTHERPK

General Provider Information

NPI Number : 1831146398
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACME MARKETS INC
Provider Business Mailing Address
First Line : 250 E PARKCENTER BLVD
Second Line : MAILSTOP SEC2-B
City : BOISE
State : ID
Zip : 83706-3940
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 425 ROUTE 9 S
Second Line :
City : LITTLE EGG HARBOR TWP
State : NJ
Zip : 08087-2206
Country : US
Telephone Number : 609-296-0612
Fax Number : 609-296-4871
Authorized Official
Title or Position : ENROLLMENTS MANAGER
Name : KATHY GIANNAKOPOULOS
Credential :
Telephone Number : 208-395-3954
Provider Enumeration Date : 05/30/2006
Last Update Date : 06/01/2026

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Directions to “ACME MARKETS INC ” Practice Location

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