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Dietitian, Registered
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NPI 1003340100
● Active Type 2 · Organization
Acme Markets Inc
Dietitian, Registered · Boise, ID · NPI 1003340100
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Enumerated 2017 · 9 years on NPI
Acme Markets Inc is 1 of 505 dietitian, registered organizations in Idaho.
NPI age
9 years
Enumerated 2017-04-14
Primary specialty
Dietitian, Registered
Plus 1 secondary
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Hawkins
Third Party Manager
Last NPPES update
2018-06-16
Source: monthly bulk 2026-05
How this organization compares
Across 505 active dietitian, registered providers in Idaho.
NPI age
9 years
↑ 2 yr above median
Practice locations
3
2 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-04 Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
250 E Parkcenter Blvd
Boise, ID 837063940
📞 2083953963 fax 6233366363
Mailing address
250 E Parkcenter Blvd
Boise, ID 837063940
📞 2083953963 fax 6233366363
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
125 Franklin Tpke
Mahwah, NJ 074301341
📞 2015129332 fax 2015120149
Location 3
121 E City Line Ave
Bala Cynwyd, PA 190042448
📞 6106677051 fax 6106678198
Authorized official
Demond Hawkins
Third Party Manager
📞 2083953905
Individual providers at this organization
12 individual providers on file at this primary practice address.
Specialties
Dietitian, Registered
Primary
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
taxonomy 133V00000X
Pharmacy
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...
NJ license #28RS00512000 PA license #PP415715L taxonomy 3336C0003X
Identifiers
Type Value Notes
01
APPLIED FOR
MEDICARE GROUP PRACTICE PROVIDER NO
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
ACME PHARMACY
Type code 3
recorded 2018-01-23
SAV-ON PHARMACY
Type code 3
recorded 2018-01-23
SAV-ON PHARMACY
Type code 3
recorded 2017-05-31
Practice context
Multi-provider organization.
12 individual providers on file at this primary address.
Plus 2 secondary practice locations.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.