Provider Demographics
NPI:1023318359
Name:KAYE, FAITH ELAINE (RPH)
Entity type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:ELAINE
Last Name:KAYE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5727 BURKE CENTER PARKWAY
Mailing Address - Street 2:SAFEWAY PHARMACY #4002
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2115
Mailing Address - Country:US
Mailing Address - Phone:703-323-8786
Mailing Address - Fax:703-239-9266
Practice Address - Street 1:5727 BURKE CENTER PARKWAY
Practice Address - Street 2:SAFEWAY PHARMACY #4002
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-2115
Practice Address - Country:US
Practice Address - Phone:703-323-8786
Practice Address - Fax:703-239-9266
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006540183500000X
NY029356-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202006540OtherPHARMACIST LICENSE NUMBER