Andriana Teddy Xenophontos, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

070016 Issued in NY

Practice address

73 Covert Ave
Floral Park, NY 11001-3218

Phone

(516) 354-1227

NPI assigned

Feb 28, 2023

Sex

Female

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Sarana Drugs LLC

  • Community/Retail Pharmacy
  • Floral Park, NY
  • NPI 1972083558
  NPD
• Raindew Covert LTD

  • Community/Retail Pharmacy
  • Floral Park, NY
  • NPI 1831104439
  NPD (past)

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1841999745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 COVERT AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013218",
            "telephone_number": "516-354-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 COVERT AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013218",
            "telephone_number": "516-354-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XENOPHONTOS",
        "first_name": "ANDRIANA",
        "middle_name": "TEDDY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mordeana Morquita Williams, DNP, FNP
• Teresa Elisabeth Wiszowaty
• Philip Wong, MD
• Rosie M Wong, M.D.
• Ashley Woodham Dunn
• XP Pharmacy Inc.
• Meghan Xumphonphakdy
• Steven Marc Yager, DPM
• Leonid Yagudayev, OT
• Simon Jin Yang

• Pharmacist in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2023; 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.