Healthcare Provider Details

I. General information

NPI: 1780521328
Provider Name (Legal Business Name): FARAH ADEL ISMAIL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11185 LEBANON RD
MOUNT JULIET TN
37122-5542
US

IV. Provider business mailing address

11185 LEBANON RD
MOUNT JULIET TN
37122-5542
US

V. Phone/Fax

Practice location:
  • Phone: 615-773-4034
  • Fax: 615-773-4204
Mailing address:
  • Phone: 615-773-4034
  • Fax: 615-773-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48167
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: