Athena Eleni Xides, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

72562 Issued in CA

Practice address

32980 Alvarado Niles Rd Ste 836
Union City, CA 94587-3186

Phone

(800) 552-5520

NPI assigned

Jun 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pharmacy Corporation of America

  • Long Term Care Pharmacy
  • Milwaukee, WI
  • NPI 1124665336
  NPD (past)

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1831820125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 CORTE DEL VISTA",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94566",
            "telephone_number": "925-918-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32980 ALVARADO NILES RD STE 836",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873186",
            "telephone_number": "800-552-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIDES",
        "first_name": "ATHENA",
        "middle_name": "ELENI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "72562",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aja Nicole Wooden-Xenos, PSYD
• Wendy M Wright
• Christina Wu, M.D.
• Jeffery Wu, DPT
• Martha Jane Wunsch, M.D.
• Mi Xie
• Song Qing Xue, L. AC
• Christian Michael Yabut
• Jessica H Yang
• Yuxiang Yang, MD

• Pharmacist in Union City, CA
• Providers in Union City, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.