Ehab Tadrous

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202208080 Issued in VA

Practice address

24585 Stone Carver Dr Ste 175
Aldie, VA 20105-3255

Phone

(571) 367-3914

NPI assigned

Mar 9, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• St Theodore LLC

  • Long Term Care Pharmacy
  • Aldie, VA
  • NPI 1710618129
  NPD Authorized official
• St Theodore LLC

  • Community/Retail Pharmacy
  • Aldie, VA
  • NPI 1659860500
  NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1376138503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24585 STONE CARVER DR STE 175",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053255",
            "telephone_number": "571-367-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24585 STONE CARVER DR STE 175",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053255",
            "telephone_number": "571-367-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROUS",
        "first_name": "EHAB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWN ID",
            "identifier": "12345",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stone Springs Dentistry PLLC
• Laura R Stone, MD
• Nithyalakkshmi N/a Subbaraj
• Jennifer W Sun, O.D.
• Sunil Saran Swami, MD
• Mahesh Kumar Tawney, PHARM.D.
• Amber Leigh Taylor, DPT, PT
• Leilani A Taylor
• Teachspeech, LLC
• Amy Elizabeth Tetro-Wenger, RPH

• Pharmacist in Aldie, VA
• Providers in Aldie, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.