Cosmos Arena LLC
Pharmacy (Community/Retail Pharmacy)

Address: 1711 Holaview Rd, Baltimore, MD 21222
Phone: 2404324572

Cosmos Arena LLC (NPI# 1205439833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1205439833
Entity Type Organization
Organization Name COSMOS ARENA LLC
Practice Address 1711 Holaview Rd
MD 21222
Practice Telephone 2404324572
Mailing Address 1711 Holaview Rd
MD 21222
Mailing Telephone 2404324572
Authorized Official Name Rotimi Fagbemi (OWNER/PHARMACIST)
Authorized Official Telephone 2404324572
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-17
Last Update Date 2020-11-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3336C0003X Pharmacy · Community/Retail Pharmacy Suppliers

Other Provider/Organization Names

Other Name Type Code

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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]

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Office Location

Street Address 1711 HOLAVIEW RD
State MD
Zip Code 21222

Providers in the same zip code

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1922634534 Progressive Multi Medical Services Inc Clinic/Center 7704 Trappe Road, Dundalk, MD 21222 2020-03-14
1881240802 Waleed Mazhar Khan Pharmacist 29-31 Sipping Pl, Baltimore, MD 21222 2019-08-15
1043773724 Agnes Kavari Occupational Therapy Assistant 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 2019-04-10
1609335702 Addiction Treatment of Maryland Substance Abuse Rehabilitation Facility 19 Center Place, 1st Floor, Baltimore, MD 21222 2019-03-18
1558833368 Millennium Residential Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1709 Holaview Road, Dundalk, MD 21222 2018-12-19
1639691447 Tenicia S Washington Nurse Practitioner 1709 Holaview Rd, Dundalk, MD 21222 2017-07-13
1548708126 Kevin Anthony Mason Counselor 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 2017-02-03
1023569266 Rachel Renee Barbarino Physician Assistant 1934 Ewald Ave, Baltimore, MD 21222 2016-10-24
1023562576 Bd Health Services, Inc Counselor 3955 North Point Rd., Dundalk, MD 21222 2016-08-12
1205287596 Dundalk Health Services, Inc. Counselor 6706 Holabird Ave, Baltimore, MD 21222 2016-06-28
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Zip Code 21222

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Dataset Information

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.