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ST THEODORE LLC
NPI 1710618129
Pharmacy - Long Term Care Pharmacy in Aldie, VA

Active since June 17, 2022
24585 STONE CARVER DR STE 175, ALDIE, VA 20105(571) 367-3914 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St Theodore Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST THEODORE LLC (NPI 1710618129), doing business as Ted Pharmacy, is a healthcare organization registered as a long term care pharmacy in Aldie, Virginia and active in the NPI registry since June 2022. The organization lists Ehab Tadrous, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1710618129
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameST THEODORE LLC
Location Address24585 STONE CARVER DR STE 175Aldie, VA 20105-3255
Mailing Address24585 Stone Carver Dr Ste 175Aldie, VA 20105-3255 · (571) 367-3914
Phone(571) 367-3914
Organization SubpartYesParent: -
Authorized OfficialEhab TadrousPharmacist In Charge · (571) 367-3914
Enumeration DateJune 17, 2022
Last NPPES UpdateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1710618129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
24585 STONE CARVER DR STE 175, Aldie, VA 20105
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Other Names 1

Doing Business AsTed Pharmacy

Other Identifiers 1

Medicaid1659860500VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EHAB TADROUS
Pharmacist
24585 STONE CARVER DR STE 175
ALDIE, VA 20105
Loudoun County (571) 367-3914
MRS. AMY ELIZABETH TETRO-WENGER RPH
Pharmacy (Community/Retail Pharmacy)
24585 STONE CARVER DR STE 175
ALDIE, VA 20105
Loudoun County (571) 367-3914
ST THEODORE LLC
Pharmacy (Community/Retail Pharmacy)
24585 STONE CARVER DR STE 175
ALDIE, VA 20105
Loudoun County (571) 367-3206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Theodore LLC's NPI number?

The NPI number for St Theodore LLC is 1710618129. It was assigned to this organization in the NPPES registry on June 17, 2022. The provider is doing business as Ted Pharmacy.

Where is St Theodore LLC located?

St Theodore LLC is located at 24585 Stone Carver Dr Ste 175, Aldie, VA 20105. The listed phone number is (571) 367-3914.

What is St Theodore LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does St Theodore LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 10 other insurers list St Theodore LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Theodore LLC was last updated on March 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.