ST THEODORE LLC (NPI# 1659860500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659860500 |
| Entity Type | Organization |
| Organization Name | ST THEODORE LLC |
| Other Organization Name | TED PHARMACY |
| Practice Address |
24585 Stone Carver Dr Ste 175 Aldie VA 20105-2798 |
| Practice Telephone | 5713673206 |
| Mailing Telephone | 5713673206 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2019-11-02 |
| Authorized Official Name | ESTER NAKHLA (OWNER) |
| Authorized Official Telephone | 5713589201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
VA | Suppliers | |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
0201004844 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | EIN NUMBER | 81-322728 | 01 |
| Other Name | Type Code |
|---|---|
| Ted Pharmacy | Doing Business As Name - Organization |
| Street Address |
24585 STONE CARVER DR STE 175 |
| City | ALDIE |
| State | VA |
| Zip Code | 20105-2798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119774 | Amy Elizabeth Tetro-wenger | Pharmacy | 24585 Stone Carver Dr Ste 175, Aldie, VA 20105-2798 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1447714415 | Stone Ridge Pharmacy, LLC | Pharmacy | 24560 Southpoint Drive Suite 190, Aldie, VA 20105 | 2019-01-24 |
| 1932675691 | Birdsong Home Healthcare, LLC | Home Health | 25288 Gary Poplar Terrence, Aldie, VA 20105 | 2018-10-22 |
| 1427508845 | Virginia Family & Cosmetic Dentistry | Clinic/Center | 24585 Stone Carver Drive, Suite 225, Aldie, VA 20105 | 2016-10-10 |
| 1053562504 | Anna Carrenina Wiesbauer | Physical Therapist | 25062 Lind Court, Aldie, VA 20105 | 2008-10-02 |
| 1790803153 | Andrew Howard Heyman | Family Medicine | 39070 John Mosby Highway, Aldie, VA 20105 | 2007-03-26 |
| 1649243908 | Tiffany Dunbar Lione | Optometrist | 42015 Village Center Plaza, Suite 103, Aldie, VA 20105 | 2006-02-08 |
| 1386638732 | Tahir Ahmad | Internal Medicine | Encompass Health Rehabiliation Hospital of Northern Va, 24430 Millstream Drive, Aldie, VA 20105 | 2005-08-31 |
| 1831645803 | Heather Singleton | Marriage & Family Therapist | 24600 Millstream Dr Ste 340, Stone Ridge, VA 20105 | 2016-08-30 |
| 1902126949 | Middleburg Neuromuscular Medicine and Rehabilitation, Plc | Physical Medicine & Rehabilitation | 24430 Millstream Drive, Aldie, VA 20105 | 2010-06-01 |
| Find all providers in zip 20105 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957787 | Vithalla, LLC | Pharmacy | 8573 Sudley Rd, Manassas, VA 20110-3808 | 2019-11-18 |
| 1730738170 | Hope Pharmacy, Inc. | Pharmacy | 1330 N 25th St, Richmond, VA 23223-5243 | 2019-09-09 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1346770856 | Claypool Hill Pharmacy | Pharmacy | 12252 Governor G C Peery Hwy, Pounding Mill, VA 24637-4272 | 2017-06-18 |
| 1841738895 | Martinsville Pharmacy Inc | Pharmacy | 1049 Brookdale St Ste A, Martinsville, VA 24112-3972 | 2017-02-09 |
| 1457898892 | Valley Pharmacies, Inc. | Pharmacy | 6701 Peters Creek Rd Ste 109, Roanoke, VA 24019-4060 | 2017-01-24 |
| 1679929145 | Central Virginia Pharmacy Consultants PC | Pharmacy | 20276 Timberlake Rd, Lynchburg, VA 24502-7214 | 2016-05-13 |
| 1134587181 | Pharmacy Corporation of America | Pharmacy | 4423 Pheasant Ridge Rd, Suite 205, Roanoke, VA 24014-5299 | 2016-02-05 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1376825547 | Legacy Consultant Pharmacy | Pharmacy | 7505 Right Flank Rd Ste 710, Mechanicsville, VA 23116-3865 | 2011-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.