Treva Shea-Faust

Primary specialty

PharmacistTaxonomy code 183500000X

License

17405 Issued in AL

Practice address

8470 Highway 72 W
Madison, AL 35758-9575

Phone

(256) 837-3362

NPI assigned

Nov 24, 2020

Last updated

Nov 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Treva Shea Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alabama CVS Pharmacy LLC

  dba CVS Pharmacy #17862

  • Pharmacy
  • Auburn, AL
  • NPI 1619668076
  NPD (past)
• Alabama CVS Pharmacy, L.L.C.

  dba CVS Pharmacy #07155

  • Pharmacy
  • Madison, AL
  • NPI 1235233115
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1235733742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STARLING DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357567201",
            "telephone_number": "239-595-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8470 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589575",
            "telephone_number": "256-837-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA-FAUST",
        "first_name": "TREVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREVA",
            "last_name": "SHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Keith Shafran, D.C.
• Nemil Ashvin Shah, M.D.
• Bhavna Sharma, M.D.
• Sheralla Shaw
• Gretchen Ann Shay, LCSW, CADC
• Lindsey Reed Sheckles, M.A.E., LPC
• Susan M Sheehy, AU.D
• Sheela Parrish, M.D., P.C.
• Shell Speech Services, LLC
• Casey Engebretsen Shell, M.S., CCC-SLP

• Pharmacist in Madison, AL
• Providers in Madison, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.