Atlanticmd Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ATLANTICMD PHARMACY

Practice address

6100 Black Horse Pike Ste A5
Egg Harbor TWP, NJ 08234-9753

Phone

(609) 380-4903

Fax

(609) 380-4902

NPI assigned

Dec 18, 2020

Organization subpart

No

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

Authorized official

Name

David FouadNPI 1619332996

Title

Pharmacist

Phone

(609) 380-4903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Fouad

  • Pharmacist
  • Toms River, NJ
  • NPI 1619332996
  NPD Authorized official

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1861088239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLACK HORSE PIKE STE A5",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082349753",
            "telephone_number": "609-380-4903",
            "fax_number": "609-380-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 BLACK HORSE PIKE STE A5",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082349753",
            "telephone_number": "609-380-4903",
            "fax_number": "609-380-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTICMD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "FOUAD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "609-380-4903"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.