Petros Andromidas, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

035859-1 Issued in NY

Practice address

312 Route 59
Nyack, NY 10960-2732

Phone

(845) 353-1530

Fax

(845) 727-5058

NPI assigned

Apr 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1457526410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 S MAIN ST",
            "address_2": "SUITE 300",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563340",
            "telephone_number": "845-639-4952",
            "fax_number": "845-639-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ROUTE 59",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602732",
            "telephone_number": "845-353-1530",
            "fax_number": "845-727-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROMIDAS",
        "first_name": "PETROS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "035859-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yveline Alteon, FNP-C
• Amavi Medical PLLC
• Gerald Abraham Ancheta, M.D.
• Abigail Anderson, LCSW
• Louis John Andrews, MD
• Dennis George Angelillo, D.D.S.
• Tiffany Anim
• Anita Bhola Medical, P.C.
• Emily R Ansbacher, LAC
• Any-Time Home Care, Inc.

• Pharmacist in Nyack, NY
• Providers in Nyack, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.