ACS PHARMACY – Specialty Pharmacy, NPI 1063510097

ACS PHARMACY is a healthcare provider. based in Chicago, Illinois. specializing in Specialty Pharmacy. The organization holds a License No. PH21423 (FL). The NPI Number for ACS PHARMACY is 1063510097

Main info

Organization
Name
ACS PHARMACY
NPI
1063510097
Phone
(909) 799-4371
Address
PO BOX 74007650
Authorized Official
THOMAS MOFFATT VICE PRESIDENT
Enumeration Date
21 September 2006
Last Update Date
4 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for ACS PHARMACY

  • PO BOX 74007650

    CHICAGO, IL 606747650

    Phone: (909) 799-4371

    Type: Mailing

  • Chancellor Drive, Orlando Central Park, Oak Ridge, Orange County, Florida, 38209, United States

    SUITE 101

    ORLANDO, FL 328095501

    Phone: (877) 985-6337

    Fax: (866) 679-7131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (83 days away).

Enrollment records

2

Earliest due date

2026-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930020836OPharmacyFL2026-08-31
O20120329000848OPharmacyFLTBD

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60674)

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Reviews

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Frequently asked questions

Does ACS PHARMACY have a public NPI I can cite?
Public records show ACS PHARMACY under NPI 1063510097.
Is ACS PHARMACY currently accepting referrals based on NPI status?
Registry metadata lists ACS PHARMACY as active.
What type of care does ACS PHARMACY provide?
ACS PHARMACY's profile centers on Specialty Pharmacy. Clinical services aligned with this taxonomy classification.
Is ACS PHARMACY tied to Chicago, Illinois?
If you are local to Chicago, Illinois, ACS PHARMACY may be relevant to your search.
Why is information missing for ACS PHARMACY?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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