Organization Active NPI

Aca Pharmacy LLC

Doing business as Oceanport Pharmacy

  • Community/Retail Pharmacy
  • Oceanport, NJ
National Provider Identifier
1477251064
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ACA PHARMACY LLC
Doing business as
Oceanport Pharmacy
Practice address
271 E Main St
Oceanport, NJ 07757-1145
Phone
(201) 780-0976
NPI assigned
Feb 22, 2023
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ibram AtallaNPI 1841638160
Title
Partner
Phone
(732) 542-8607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

271 E Main St
Oceanport, NJ 07757-1145

Mailing address

271 E Main St
Oceanport, NJ 07757-1145
Phone (732) 542-8607

Other identifiers 1

IdentifierTypeStateIssuer
0959316MedicaidNJ

Other names 1

  • Oceanport Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231020000961 NJ Part B Supplier - Pharmacy 0042666422 Practice locations: Oceanport, NJ
O20231024003488 NJ DME Supplier - Pharmacy 0042666422 Practice locations: Oceanport, NJ

National Provider Directory

National Provider Directory
Tax ID family
Aca Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

271 E Main St
Oceanport, NJ 07757
Phone (732) 542-8607

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1477251064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 E MAIN ST",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571145",
            "telephone_number": "732-542-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 E MAIN ST",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571145",
            "telephone_number": "201-780-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "ATALLA",
        "authorized_official_first_name": "IBRAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-542-8607"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959316",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceanport Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oceanport Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.