Individual provider Active NPI

Tricia Faje, PHD

  • Pharmacist
  • Allston, MA
National Provider Identifier
1184347692
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH240643 Issued in MA
Practice address
214 Harvard Ave
Allston, MA 02134-4619
Phone
(617) 277-6080
Fax
(617) 277-4951
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PH240643MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc CurrentSince Sep 25, 2022 Accepting new patients
CVS Pharmacy Inc PastSince Sep 25, 2022 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.