Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Yantsides Jr., PHARMD

Individual provider Pharmacist · NPI 1992445415

Theodore Yantsides Jr., PHARMD is a Pharmacist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

11620 Monument Dr
Fairfax, VA 22030-8706
Phone: (703) 653-1651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 020220817 (VA)

Record details

NPI number1992445415
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

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