Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IMMANUEL ADITYA TJAHJADI
NPI 1295646263
Pharmacist in San Francisco, CA

Active since September 16, 2026
533 PARNASSUS AVE, SAN FRANCISCO, CA 94143(626) 715-4062 Get Directions Write a Review

NPPES record added: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Immanuel Aditya Tjahjadi NPPES

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

IMMANUEL ADITYA TJAHJADI (NPI 1295646263) is an individual pharmacist in San Francisco, California, licensed in California (91180) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1295646263
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameIMMANUEL ADITYA TJAHJADI
Location Address533 PARNASSUS AVESan Francisco, CA 94143-2208
Mailing Address816 N Azusa Ave Apt 8West Covina, CA 91791-1077 · (626) 715-4062
Sole ProprietorYes
Enumeration DateSeptember 16, 2026
NPPES CertifiedSeptember 16, 2026
NPI 1295646263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 91180
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.
533 PARNASSUS AVE, San Francisco, CA 94143

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Pharmacist
533 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
533 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Genetic Counselor, MS
533 PARNASSUS AVE, CAMPUS BOX 0748
SAN FRANCISCO, CA 94143
Medical Genetics (Clinical Genetics (M.D.))
533 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Genetic Counselor, MS
533 PARNASSUS AVE, BOX 0748
SAN FRANCISCO, CA 94143
Pharmacist
533 PARNASSUS AVE, ROOM U585
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
533 PARNASSUS AVE
SAN FRANCISCO, CA 94143
Nurse Practitioner (Pediatrics)
533 PARNASSUS AVE, ROOM U585
SAN FRANCISCO, CA 94143

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 Immanuel Tjahjadi's NPI number?

The NPI number for Immanuel Tjahjadi is 1295646263. It was assigned to this individual provider in the NPPES registry on September 16, 2026.

Where is Immanuel Tjahjadi located?

Immanuel Tjahjadi practices at 533 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (626) 715-4062.

What is Immanuel Tjahjadi'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 Immanuel Tjahjadi was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.