Stone Ridge Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

STONE RIDGE PHARMACY, LLC

Doing business as

Stone Ridge Pharmacy

Practice address

24560 Southpoint Drive Suite 190
Aldie, VA 20105

Phone

(703) 345-1046

NPI assigned

Jan 24, 2019

Last updated

Jul 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amilcar Espinal

Title

President

Phone

(703) 345-1046

Specialties & licenses 1

Addresses

Other names 1

• Stone Ridge Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1447714415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DRIVE SUITE 190",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "20105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DRIVE SUITE 190",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "20105",
            "telephone_number": "703-345-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE RIDGE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "ESPINAL",
        "authorized_official_first_name": "AMILCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-345-1046"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Ridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stone Ridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Star Rehab LLC
• Thais Cristina Steffen
• Daniel P Stoltzfus, MD
• Stone Ridge Endodontics, PLLC
• Stone Ridge Family Medicine PLLC (Stone Ridge Family Medicine)
• Stone Springs Dentistry PLLC
• Laura R Stone, MD
• Nithyalakkshmi N/a Subbaraj
• Jennifer W Sun, O.D.
• Sunil Saran Swami, MD

• Community/Retail Pharmacy in Aldie, VA
• Providers in Aldie, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.