St Theodore LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST THEODORE LLC

Doing business as

Ted Pharmacy

Practice address

24585 Stone Carver Dr Ste 175
Aldie, VA 20105-2798

Phone

(571) 367-3206

NPI assigned

May 7, 2018

Last updated

Sep 25, 2024By 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

Ester Tadrous

Title

Owner

Phone

(571) 358-9201

Specialties & licenses 1

Addresses

Other names 1

• Ted Pharmacy Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ehab Tadrous

  • Pharmacist
  • Aldie, VA
  • NPI 1376138503
  NPD
• Amy Elizabeth Tetro-Wenger, RPH

  • Community/Retail Pharmacy
  • Aldie, VA
  • NPI 1386119774
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1659860500",
    "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": "201052798",
            "telephone_number": "571-367-3206"
        },
        {
            "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": "201052798",
            "telephone_number": "571-367-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST THEODORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "TADROUS",
        "authorized_official_first_name": "ESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-358-9201"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tedpharmacy.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24585 Stone Carver Dr Ste 175",
            "city": "Aldie",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201052798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.TEDPHARMACY.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24585 Stone Carver Dr Ste 175",
            "city": "Aldie",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201052798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ted Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Smarsh
• Jennifer Smith, LMSW
• Morgan Smith
• Ann Marie Smoot, NP
• Marilee Sonnen, M.A.
• St Theodore LLC (Ted Pharmacy)
• Tiffany Anne Stafford, PHARMD
• Star Rehab LLC
• Thais Cristina Steffen
• Daniel P Stoltzfus, 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 Sep 25, 2024; 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.