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JIE GIOK RAHARDJA PHARMD
NPI 1013296656
Pharmacist in Santa Rosa, CA

Active since August 14, 2011
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 393-4652 Get Directions Write a Review

NPPES record last updated: August 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jie Giok Rahardja Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIE GIOK RAHARDJA PHARMD (NPI 1013296656) is an individual pharmacist in Santa Rosa, California, licensed in California (62966) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1013296656
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJIE GIOK RAHARDJACredential: PHARMD
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address121 Verde CtPetaluma, CA 94954-1545 · (707) 769-9361
Phone(707) 393-4652
Sole ProprietorYes
Enumeration DateAugust 14, 2011
✔ NPI 1013296656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 62966
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
401 BICENTENNIAL WAY, Santa Rosa, CA 95403
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA ANNE RUTLAND R.D.
Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4787
KURT FALKENBERG P.T.
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Sonoma County (707) 571-3352
DELILAH PATTERSON CRNA
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4616
KRISZTINA J. BALAZS MD
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
JOHN F. KUNKEL MD
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
CRISTINA COREY SCHROEN LCSW
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-2536
CONOR WILLIAM BOWMAN PHARM.D.
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (818) 522-1238
JOHN TATE HIGGINS MD
Emergency Medicine
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jie Giok Rahardja's NPI number?

The NPI number for Jie Giok Rahardja is 1013296656. It was assigned to this individual provider in the NPPES registry on August 14, 2011.

Where is Jie Giok Rahardja located?

Jie Giok Rahardja practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 393-4652.

What is Jie Giok Rahardja's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jie Giok Rahardja was last updated on August 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.