Individual provider Active NPI

Andreas P. Xanthopoulos, PHARM D, RPH

  • Pharmacist
  • Bronx, NY
National Provider Identifier
1902086820
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050128 Issued in NY
Practice address
2748 E Tremont Ave
Bronx, NY 10461-2808
Phone
(718) 829-6808
Fax
(718) 829-6236
NPI assigned
Nov 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050128 NY Primary

Addresses

Primary practice location

2748 E Tremont Ave
Bronx, NY 10461-2808

Mailing address

2748 E Tremont Ave
Bronx, NY 10461-2808
Phone (718) 829-6808

Other identifiers 1

IdentifierTypeStateIssuer
02496986MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
050128NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Pharmacy Corp. Current Accepting new patients
Fine Care Drugs Corp Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1902086820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612808",
            "telephone_number": "718-829-6808",
            "fax_number": "718-829-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612808",
            "telephone_number": "718-829-6808",
            "fax_number": "718-829-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XANTHOPOULOS",
        "first_name": "ANDREAS",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "PHARM D, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02496986",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.