Lena Johanna Fajardo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03440186 Issued in OH

Practice address

6421 Market Ave N
Canton, OH 44721-2490

Phone

(330) 244-1435

NPI assigned

Dec 21, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Canton, OH
  • NPI 1508871567
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1811583115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 PORTAGE TRAIL EXT W",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233613",
            "telephone_number": "331-442-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212490",
            "telephone_number": "330-244-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "LENA",
        "middle_name": "JOHANNA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03440186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos E. Fabre, M.D.
• Katherine Facaros, D.P.M
• Thameenah Z Faheem
• Daniel C Fahl
• Nabil Fahmy, M.D.
• Rachel Evangeline Falce, MS, RDN, LD
• Falcon Healthcare, Inc.
• Tanya R Falcone, CT
• Benjamin W. Falkenberg, AA
• Jeffery Scott Falkner

• Pharmacist in Canton, OH
• Providers in Canton, OH by specialty
• Pharmacist in Ohio

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