ACME PHARMACY #1054
NPI 1265942908
Pharmacy - Community/Retail Pharmacy in Midland Park, NJ

Active since October 09, 2017CLIA 31D2274626 · Waiver
136 LAKE AVE, MIDLAND PARK, NJ 07432(201) 493-7055(201) 493-7058 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 7, 2018, Oct 9, 2017 (2 updates tracked since 2017).

About Acme Pharmacy #1054 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACME PHARMACY #1054 (NPI 1265942908) is a healthcare organization registered as a community/retail pharmacy in Midland Park, New Jersey and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Tiffany Eliopulos, Assistant Manager, Enrollments, as its authorized official.

NPPES Registry Identity

NPI1265942908
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameACME MARKETS INC
Location Address136 LAKE AVEMidland Park, NJ 07432-1945
Mailing Address250 E Parkcenter BlvdBoise, ID 83706-3940
Fax(201) 493-7058
Organization SubpartNo
Authorized OfficialTiffany EliopulosAssistant Manager, Enrollments · (208) 395-3906
Enumeration DateOctober 9, 2017
Last NPPES UpdateNovember 7, 20182 updates tracked since enumeration
NPI 1265942908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NJ · 28RS00549300
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
136 LAKE AVE, Midland Park, NJ 07432

Other Names 1

Doing Business AsAcme Pharmacy #1054

Other Identifiers 1

Medicaid0517593NJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2274626

Acme Pharmacy #1054 · Midland Park, NJ
Active · expires Jan 8, 2027
CLIA Number31D2274626
Laboratory TypePharmacy
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorEddie Peron
Laboratory Phone(201) 493-7055
Laboratory LocationAcme Pharmacy #1054136 Lake Ave, Midland Park, NJ 07432
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Acme Pharmacy #1054 carries, from the Medicare DMEPOS supplier directory.

Acme Pharmacy #1054

DMEPOS supplier · Midland Park, NJOperated by Acme Markets Inc.

Does not accept Medicare assignment

Acme Pharmacy #1054 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20561327
Medicare Participant SinceOctober 15, 2007
Supplier Location136 Lake AveMidland Park, NJ 07432
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
136 LAKE AVE
MIDLAND PARK, NJ 07432
Pharmacist
136 LAKE AVE
MIDLAND PARK, NJ 07432
Pharmacy (Community/Retail Pharmacy)
136 LAKE AVE
MIDLAND PARK, NJ 07432
Pharmacy
136 LAKE AVE
MIDLAND PARK, NJ 07432
Pharmacist
136 LAKE AVE
MIDLAND PARK, NJ 07432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Acme Markets Inc's NPI number?

The NPI number for Acme Markets Inc is 1265942908. It was assigned to this organization in the NPPES registry on October 9, 2017. The provider is doing business as Acme Pharmacy #1054.

Where is Acme Markets Inc located?

Acme Markets Inc is located at 136 Lake Ave, Midland Park, NJ 07432. The listed phone number is (201) 493-7055.

What is Acme Markets Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Acme Markets Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Acme Pharmacy #1054 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Acme Markets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2274626) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Acme Markets Inc was last updated on November 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.