Healthcare Provider Details

I. General information

NPI: 1750069282
Provider Name (Legal Business Name): FAIZA SUMRA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3636 SPRINGDALE RD
CINCINNATI OH
45251-1407
US

IV. Provider business mailing address

1093 STATE ROUTE 28
MILFORD OH
45150-2083
US

V. Phone/Fax

Practice location:
  • Phone: 513-639-9920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03443156
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03443156
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: