NPIMap

Organization Active NPI

Atlanticare Regional Medical Center

Doing business as AtlantiCare Pharmacy at Pomona

  • Community/Retail Pharmacy
  • Galloway, NJ
National Provider Identifier
1851608111
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00706800 Issued in NJ
Legal business name
ATLANTICARE REGIONAL MEDICAL CENTER
Doing business as
AtlantiCare Pharmacy at Pomona
Practice address
54 W Jimmie Leeds Rd
Galloway, NJ 08205-9401
Phone
(609) 404-7444
Fax
(609) 404-7445
NPI assigned
Sep 8, 2010
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Amanda Melendez
Title
Senior Director Finance
Phone
(609) 833-9988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00706800 NJ Primary

Addresses

Primary practice location

54 W Jimmie Leeds Rd
Galloway, NJ 08205-9401

Mailing address

54 W Jimmie Leeds Rd
Galloway, NJ 08205-9438
Phone (609) 404-7444

Other identifiers 1

IdentifierTypeStateIssuer
3197262OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • AtlantiCare Pharmacy at Pomona Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110223000706 NJ DME Supplier - Pharmacy 0648181578 Practice locations: Pomona, NJ

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1851608111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059438",
            "telephone_number": "609-404-7444",
            "fax_number": "609-404-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059401",
            "telephone_number": "609-404-7444",
            "fax_number": "609-404-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICARE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "SENIOR DIRECTOR FINANCE",
        "authorized_official_telephone_number": "609-833-9988"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00706800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3197262",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AtlantiCare Pharmacy at Pomona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.