Active NPI
Tricia Faje, PHD
- Pharmacist
- Allston, MA
National Provider Identifier
1184347692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH240643
- Practice address
- 214 Harvard Ave
Allston, MA 02134-4619 - Phone
- (617) 277-6080
- Fax
- (617) 277-4951
- NPI assigned
- Sep 20, 2022
- Last updated
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH240643 | MA | Primary |
Addresses
Primary practice location
214 Harvard Ave
Allston, MA 02134-4619
Mailing address
214 Harvard Ave
Allston, MA 02134-4619
Phone (617) 277-6080
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH240643 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Current | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Locations
214 Harvard Ave
Boston, MA 02134
Phone (617) 277-6080
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1184347692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 HARVARD AVE",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021344619",
"telephone_number": "617-277-6080",
"fax_number": "617-277-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 HARVARD AVE",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021344619",
"telephone_number": "617-277-6080",
"fax_number": "617-277-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAJE",
"first_name": "TRICIA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH240643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.