ATLANTICARE REGIONAL MEDICAL CENTER (NPI# 1063843241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063843241 |
| Entity Type | Organization |
| Organization Name | ATLANTICARE REGIONAL MEDICAL CENTER |
| Other Organization Name | ATLANTICARE COMMUNITY PHARMACY -POMONA |
| Practice Address |
65 W Jimmie Leeds Rd Pomona NJ 08240-9102 |
| Practice Telephone | 6094044833 |
| Practice Fax Number | 6094044834 |
| Mailing Telephone | 6094044833 |
| Mailing Fax Number | 6094044834 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | SANDRA GARRETT (AVP PHARMACY/MEDICINE) |
| Authorized Official Telephone | 6094494336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00730300 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| Atlanticare Community Pharmacy -Pomona | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992978621 | Atlanticare Regional Medical Center | Ambulance | 6685 Washington Ave, Egg Harbor Township, NJ 08234-1827 | 2008-04-02 |
| 1710930102 | Atlanticare Regional Medical Center | Anesthesiology | 65 Jimie Leeds Road, Pomona, NJ 08240 | 2006-05-18 |
| 1013919315 | Atlanticare Regional Medical Center | General Acute Care Hospital | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2005-06-01 |
| 1235677378 | Atlanticare Regional Medical Center | Pharmacy | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2017-02-09 |
| 1730516626 | Atlanticare Regional Medical Center | Pathology | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2013-10-09 |
| 1255764841 | Atlanticare Regional Medical Center | Neurological Surgery | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2013-08-19 |
| 1659616688 | Atlanticare Regional Medical Center | General Acute Care Hospital | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2012-12-03 |
| 1851608111 | Atlanticare Regional Medical Center | Pharmacy | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9401 | 2010-09-08 |
| 1851540025 | Atlanticare Regional Medical Center | Psychiatry & Neurology | 65 W Jimmie Leeds Rd, Psychiatry Dept., Pomona, NJ 08240-9102 | 2008-09-12 |
| 1568663250 | Atlanticare Regional Medical Center | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2007-05-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ATLANTICARE REGIONAL MEDICAL CENTER, INC. | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 |
| Street Address |
65 W JIMMIE LEEDS RD |
| City | POMONA |
| State | NJ |
| Zip Code | 08240-9102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919315 | Atlanticare Regional Medical Center | General Acute Care Hospital | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2005-06-01 |
| 1396371662 | Anthony Migioia | Nurse Practitioner | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2020-03-19 |
| 1073148268 | Tammy Delores Hart | Nurse Practitioner | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2020-03-08 |
| 1902430770 | Brittany Nicole Dougherty | Nurse Practitioner | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2020-03-02 |
| 1932731759 | Tabitha Yim | Registered Nurse | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2020-02-10 |
| 1609428846 | Ashabari Nayak Pellechi | Student in an Organized Health Care Education/Training Program | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2019-07-09 |
| 1083174676 | Robert Owen Walters Jr. | Pharmacist | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2019-03-21 |
| 1538631924 | Puja Trivedi | Pharmacist | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2018-12-22 |
| 1366913493 | Shela Delos Reyes | Pharmacist | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2018-12-16 |
| 1679044010 | Laura Higgins | Pharmacist | 65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102 | 2018-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598259517 | Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. | Clinic/Center | Stockton College, West Quad Building, Suite 108, Pomona, NJ 08240 | 2018-06-22 |
| 1437427473 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 328 West White Horse Pike, Pomona, NJ 08240 | 2011-12-06 |
| 1760785414 | Manish Niranjan Trivedi | Internal Medicine | 208 West Whitehorse Pike, Pomona, NJ 08240 | 2010-12-17 |
| 1366752933 | Maria Leah Gudia Beyers | Registered Nurse | W Jimmie Leeds Road, Pomona, NJ 08240 | 2010-10-18 |
| 1114249059 | Atlantic Surgical Assistants LLC | General Acute Care Hospital | 266 South Odessa Ave., Pomona, NJ 08240 | 2010-02-19 |
| 1417191461 | Dominique Marie Fields | Pharmacist | 65 W. Jimmie Leeds Road, Atlanticare Regional Medical Center, Galloway, NJ 08240 | 2009-04-21 |
| 1205039500 | Debra Ann Winters | Audiologist | 61 W Jim Leeds Road, Pomona, NJ 08240 | 2007-06-06 |
| 1508072422 | Myrna M Fernandez | Physical Therapy Assistant | Bacharach Institute, 61 West Jim Leeds Rd, Pomona, NJ 08240 | 2007-05-15 |
| 1700090255 | Mary Jo Cogan | Occupational Therapist | 61 W. Jimmy Leeds Road, Pomona, NJ 08240 | 2007-05-10 |
| 1992809131 | Jacqueline A Kelsch-robinson | Chiropractor | Pob 770, 278 St. Joseph St., Pomona, NJ 08240 | 2006-09-08 |
| Find all providers in zip 08240 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail 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 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073157772 | Zand Pharma LLC | Pharmacy | 3155 N Garey Ave, Pomona, CA 91767-1366 | 2019-11-05 |
| 1316498215 | Rite Aid | Pharmacy | 2059 S Garey Avenue, Pomona, CA 91765 | 2016-10-17 |
| 1295280485 | Brian T Garner | Pharmacy | 1902 Royalty Dr Ste 110, Pomona, CA 91767-3036 | 2016-08-18 |
| 1700263480 | Dev Pharma Inc | Pharmacy | 649 Indian Hill Blvd, Pomona, CA 91767-5303 | 2015-05-01 |
| 1477734507 | Specialty Medical | Pharmacy | 2680 Pomona Blvd Ste B, Pomona, CA 91768-3272 | 2007-11-16 |
| 1427103878 | Chemique Pharmaceuticals, Inc. | Pharmacy | 176 University Pkwy, Pomona, CA 91768-4300 | 2007-01-24 |
| 1881773224 | Hagco Industries LLC | Pharmacy | 722 N Garey Ave, Pomona, CA 91767-4614 | 2006-11-05 |
| 1841302775 | Mesa Pharmacy Inc | Pharmacy | 1900 Royalty Dr Ste 190, Pomona, CA 91767-3050 | 2006-08-31 |
| 1992712954 | Walgreen Co | Pharmacy | 495 E Holt Ave, Pomona, CA 91767-5539 | 2006-08-02 |
| 1669486999 | Walgreen Co | Pharmacy | 795 E Foothill Blvd, Pomona, CA 91767-1223 | 2006-07-29 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.