BILLY NUGRAWAN TJITRAJADI PHARMD
NPI 1356908792
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Loma Linda, CA

Q: What is Billy Tjitrajadi's NPI number?

The NPI number for Billy Tjitrajadi is 1356908792. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Q: What is Billy Tjitrajadi's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Billy Tjitrajadi was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 21, 2019

11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2022, May 21, 2019 (2 updates tracked since 2019).

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About Billy Nugrawan Tjitrajadi Pharmd NPPES

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

BILLY NUGRAWAN TJITRAJADI PHARMD (NPI 1356908792) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Loma Linda, California, licensed in California (78914) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1356908792

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameBILLY NUGRAWAN TJITRAJADICredential: PHARMD

Location Address11201 BENTON STLoma Linda, CA 92357-1000

Mailing Address13201 Joliet DrRancho Cucamonga, CA 91739-9265 · (909) 569-2534

Phone(909) 825-7084

Sole ProprietorNo

Enumeration DateMay 21, 2019

Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1356908792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in CA · 78914

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacistTaxonomy 183500000X · License RPH78914 (CA)

11201 BENTON ST, Loma Linda, CA 92357

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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.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.

Radiology (Diagnostic Radiology)

11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)