Active NPI
Joseph Wayne Faires, RPH,BCPP
- Psychiatric Pharmacist
- Tacoma, WA
National Provider Identifier
1093873622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- PH00010526
- Practice address
- 9601 Steilacoom Blvd SW
Att. Pharmacy
Tacoma, WA 98498-7213 - Phone
- (125) 375-6273
- Fax
- (125) 375-6270
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | PH00010526 | WA | Primary |
Addresses
Primary practice location
9601 Steilacoom Blvd SW
Att. Pharmacy
Tacoma, WA 98498-7213
Mailing address
9601 Steilacoom Blvd SW
Att. Pharmacy
Tacoma, WA 98498-7213
Phone (125) 375-6273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010526 | WA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093873622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"address_2": "ATT. PHARMACY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984987213",
"telephone_number": "125-375-6273",
"fax_number": "125-375-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"address_2": "ATT. PHARMACY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984987213",
"telephone_number": "125-375-6273",
"fax_number": "125-375-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRES",
"first_name": "JOSEPH",
"middle_name": "WAYNE",
"credential": "RPH,BCPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "WA",
"license": "PH00010526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.