BIOMATRIX SPECIALTY PHARMACY OF MARYLAND, LLC (NPI# 1770973828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770973828 |
| Entity Type | Organization |
| Organization Name | BIOMATRIX SPECIALTY PHARMACY OF MARYLAND, LLC |
| Other Organization Name | ONCOSOURCERX |
| Practice Address |
7172 Columbia Gateway Dr Columbia MD 21046-2990 |
| Practice Telephone | 8886626779 |
| Mailing Telephone | 8886626779 |
| Mailing Fax Number | 8778004790 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | NICHOLAS KARALIS (INTERIM CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6105456040 |
| Is Organization Subpart | Y |
| Parent Organization Name | BIOMATRIX SPECIALTY PHARMACY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2149859 | 01 |
| Other Name | Type Code |
|---|---|
| Cardinal Health Specialty Pharmacy, LLC / OncoSourceRx | Former Legal Business Name - Organization |
| OncoSourceRx | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558760363 | Biomatrix Specialty Pharmacy of Maryland, LLC | Pharmacy | 7172 Columbia Gateway Dr, Columbia, MD 21046-2990 | 2014-08-18 |
| 1528398674 | Biomatrix Specialty Pharmacy of Maryland, LLC | Pharmacy | 7172 Columbia Gateway Dr Ste 300, Columbia, MD 21046-2993 | 2010-01-12 |
| Street Address |
7172 COLUMBIA GATEWAY DR |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-2990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558421164 | Gregory S Brooks | Pharmacist | 7172 Columbia Gateway Dr, Columbia, MD 21046-2990 | 2006-12-12 |
| 1982120317 | Esther Yoo | Pharmacist | 7172 Columbia Gateway Dr, Columbia, MD 21046-2990 | 2017-08-17 |
| 1679099006 | Cassandra Deshawn Davis | Pharmacist | 7172 Columbia Gateway Dr, Columbia, MD 21046-2990 | 2017-08-17 |
| 1629594080 | Farah Awan | Pharmacist | 7172 Columbia Gateway Dr, Columbia, MD 21046-2990 | 2017-08-17 |
| 1780100156 | Amy Elizabeth Wood | Pharmacist | 7172 Columbia Gateway Dr, Columbia, MD 21046-2990 | 2017-08-17 |
| 1306362736 | Nesriya Ababiya | Pharmacist | 7172 Columbia Gateway Dr, Columbia, MD 21046-2990 | 2017-08-17 |
| 1558760363 | Biomatrix Specialty Pharmacy of Maryland, LLC | Pharmacy | 7172 Columbia Gateway Dr, Columbia, MD 21046-2990 | 2014-08-18 |
| 1366742421 | Kionna R Oleru | Pharmacist | 7172 Columbia Gateway Dr, Suite 300, Columbia, MD 21046-2990 | 2010-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1043472145 | Caremark, L.L.C. | Pharmacy | 8945 Guilford Rd, Suite 110, Columbia, MD 21046-2659 | 2008-06-30 |
| 1710022322 | Diabetic Supply Source, Inc | Pharmacy | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659530541 | Fisher Bioservices | Pharmacy | 14665 Rothgeb Dr, Rockville, MD 20850-5312 | 2008-06-05 |
| 1437271194 | Correct Rx Pharmacy Services Inc | Pharmacy | 1352 Charwood Rd Ste C, Hanover, MD 21076-3125 | 2007-04-04 |
| 1568443489 | Theracom | Pharmacy | 9717 Key West Ave, Rockville, MD 20850-3982 | 2005-11-08 |
| 1306403126 | Drugglobe Inc | Pharmacy | 1803 Research Blvd Ste 102, Rockville, MD 20850-3187 | 2019-05-28 |
| 1679015739 | K & C Pharmacy Depot, LLC | Pharmacy | 5686 Silver Hill Rd, District Heights, MD 20747-1146 | 2016-11-07 |
| 1265695852 | Theracom LLC | Pharmacy | 9717 Key West Ave, Rockville, MD 20850-3982 | 2008-07-03 |
| 1033297288 | Allied Pharmaceutical Services | Pharmacy | 1201 Seven Locks Rd, Rockville, MD 20854-2931 | 2006-11-02 |
| 1548285448 | Symphony Respiratory Services | Pharmacy | 2622 Lord Baltimore Dr, Suite G, Baltimore, MD 21244-2639 | 2006-07-12 |
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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.