Individual provider · Type 1 NPI

Immanuel Aditya Tjahjadi

Pharmacist · San Francisco, CA

NPI number 1295646263 Active

Practice location

533 Parnassus Ave
San Francisco, CA 94143-2208

Mailing address

816 N Azusa Ave Apt 8
West Covina, CA 91791-1077

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X91180 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1295646263

Immanuel Aditya Tjahjadi's National Provider Identifier is 1295646263, issued on Sep 16, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Francisco, CA. The record was last updated on Sep 16, 2026.