NPIMap

Organization Active NPI

Fokos Group LLC

  • Community/Retail Pharmacy
  • Elkridge, MD
National Provider Identifier
1972916682
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FOKOS GROUP LLC
Practice address
6020 Meadowridge Center Dr
Ste B
Elkridge, MD 21075-6528
Phone
(410) 799-7227
Fax
(410) 799-2660
NPI assigned
Jun 10, 2014
Organization subpart
Yes
Parent organization
FOKOS GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Dr. Funmilayo Fadina, PHARM D.NPI 1205137635
Title
Owner
Phone
(443) 904-3009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P06385 MD
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6020 Meadowridge Center Dr
Ste B
Elkridge, MD 21075-6528

Mailing address

6020 Meadowridge Center Dr
Ste B
Elkridge, MD 21075-6528
Phone (410) 799-7227

Other identifiers 1

IdentifierTypeStateIssuer
479903800MedicaidMD

Other names 1

  • Midas Rx Doing business as

National Provider Directory

National Provider Directory
Part of
Fokos Group LLC

Locations

6020 Meadowridge Center Dr
Ste B
Elkridge, MD 21075
Phone (410) 799-7227

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1972916682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 MEADOWRIDGE CENTER DR",
            "address_2": "STE B",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756528",
            "telephone_number": "410-799-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 MEADOWRIDGE CENTER DR",
            "address_2": "STE B",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756528",
            "telephone_number": "410-799-7227",
            "fax_number": "410-799-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOKOS GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOKOS GROUP LLC",
        "enumeration_date": "2014-06-10",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "FADINA",
        "authorized_official_first_name": "FUNMILAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-904-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MD",
            "license": "P06385",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479903800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midas Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midas Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.