=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780521328
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FARAH ADEL ISMAIL PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2026
-----------------------------------------------------
Last Update Date | 05/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11185 LEBANON RD
-----------------------------------------------------
City | MOUNT JULIET
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37122-5542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-773-4034
-----------------------------------------------------
Fax | 615-773-4204
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11185 LEBANON RD
-----------------------------------------------------
City | MOUNT JULIET
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37122-5542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-773-4034
-----------------------------------------------------
Fax | 615-773-4204
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 48167
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------