Healthcare Provider Details

I. General information

NPI: 1972732998
Provider Name (Legal Business Name): FARAHNAZ JAHANGIRIAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2009
Last Update Date: 07/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 WARD PKWY APT 905
KANSAS CITY MO
64112-2120
US

IV. Provider business mailing address

121 WARD PKWY APT 905
KANSAS CITY MO
64112-2120
US

V. Phone/Fax

Practice location:
  • Phone: 816-729-7955
  • Fax:
Mailing address:
  • Phone: 816-729-7955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number2008029255
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: