Active NPI
Farid Israel, RPH
- Pharmacist
- Gambrills, MD
National Provider Identifier
1083259477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26637
- Practice address
- 2384 Brandermill Blvd
Gambrills, MD 21054-1850 - Phone
- (443) 302-6279
- Fax
- (443) 302-6289
- NPI assigned
- Nov 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26637 | MD | Primary |
Addresses
Primary practice location
2384 Brandermill Blvd
Gambrills, MD 21054-1850
Mailing address
1003 Bayridge Ter
Gaithersburg, MD 20878-1955
Phone (405) 697-8007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26637 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1083259477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 BAYRIDGE TER",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781955",
"telephone_number": "405-697-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2384 BRANDERMILL BLVD",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541850",
"telephone_number": "443-302-6279",
"fax_number": "443-302-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "FARID",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-09",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gambrills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.