Biomatrix Specialty Pharmacy of Maryland, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BIOMATRIX SPECIALTY PHARMACY OF MARYLAND, LLC

Doing business as

OncoSourceRx

Practice address

6992 Columbia Gateway Dr Ste 220
Columbia, MD 21046-2986

Phone

(443) 518-7000

NPI assigned

Aug 18, 2014

Organization subpart

Yes

Parent organization

BIOMATRIX SPECIALTY PHARMACY, LLCAs reported in NPPES

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

Authorized official

Name

Nicholas Karalis

Title

Ceo & President

Phone

(610) 545-6040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• OncoSourceRx Doing business as
• Cardinal Health Specialty Pharmacy, LLC / OncoSourceRx Former legal business name

Tax ID family

Biomatrix Specialty Pharmacy of Maryland 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.

• Biomatrix Specialty Pharmacy of Maryland, LLC

  • Mail Order Pharmacy
  • Columbia, MD
  • NPI 1770973828
  NPD tax ID

Locations

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1558760363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6992 COLUMBIA GATEWAY DR STE 220",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462986",
            "telephone_number": "888-662-6779",
            "fax_number": "877-800-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6992 COLUMBIA GATEWAY DR STE 220",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462986",
            "telephone_number": "443-518-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMATRIX SPECIALTY PHARMACY OF MARYLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BIOMATRIX SPECIALTY PHARMACY, LLC",
        "enumeration_date": "2014-08-18",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "KARALIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "610-545-6040"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OncoSourceRx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OncoSourceRx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cardinal Health Specialty Pharmacy, LLC / OncoSourceRx",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mallory Biller
• Michele Jo Billingsley, R126569
• Jacqueline M Binns, PMHNP
• Funmilayo Biodun Odunnaike
• Biomatrix Specialty Pharmacy of Maryland, LLC
• Biomatrix Specialty Pharmacy of Maryland, LLC
• Caitlin Biondo
• Amanda Ashley Biondy, M.S., BCBA, LBA
• Bionic Prosthetics and Orthotics Group LLC
• Meron Zewdie Biriye, RN

• Community/Retail Pharmacy in Columbia, MD
• Providers in Columbia, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.