Madeline M Bandomer, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04197200 Issued in NJ

Practice address

2093 Route 130 N
Burlington, NJ 08016-9748

Phone

(609) 499-5781

NPI assigned

Sep 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of New Jersey Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
  • NPI 1467561803
  NPD (past)
• Rite Aid of New Jersey Inc

  • Community/Retail Pharmacy
  • Burlington, NJ
  • NPI 1659481331
  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1679243166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 PESHEKEE TRL",
            "city": "MEDFORD LAKES",
            "state": "NJ",
            "postal_code": "080551719",
            "telephone_number": "609-760-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 ROUTE 130 N",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080169748",
            "telephone_number": "609-499-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDOMER",
        "first_name": "MADELINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04197200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Yvette Baker, LPN
• Denise Ball, BA
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Peter Bannan, DPT
• Joanne Barone, LPN
• Paulette Barrington, LPN
• Rosalina Barroso, LPN
• Roseann Bartolomeo, COTA

• Pharmacist in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.