Carolyn Bacica-Fahey

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP038860L Issued in PA

Practice address

1530 Cowpath Rd
Hatfield, PA 19440-3101

Phone

(215) 361-2542

Fax

(215) 361-2631

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 2

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.

• Pennsylvania CVS Pharmacy, L.L.C.

  dba Cvs Pharmacy #17901

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  dba CVS Pharmacy # 05762

  • Pharmacy
  • Hatfield, PA
  • NPI 1780895474
  NPD (past)

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1275256505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 COWPATH RD",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194403101",
            "telephone_number": "215-361-2542",
            "fax_number": "215-361-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 COWPATH RD",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194403101",
            "telephone_number": "215-361-2542",
            "fax_number": "215-361-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACICA-FAHEY",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP038860L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203622903",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "3988396",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PP481736",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015538870015",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Carolyn.Bacica-Fahey@CVSHealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 Cowpath Rd",
            "city": "Hatfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194403101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carolyn.Bacica-Fahey@CVSHealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 Cowpath Rd",
            "city": "Hatfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194403101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aaron Alderfer, PT
• Allergenis, LLC
• Alliance Primary Health PC
• Atg Connecticut Inc (Numotion)
• Audrey Avila
• Nancy Barndt, COTA
• Be Healthy Nutrition LLC
• Martin Otto Behm, M.D.
• Laura Bishop
• Sonia Deborah Boone, LMT

• Pharmacist in Hatfield, PA
• Providers in Hatfield, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.