TIMOTHY WIDJAJA PHARMD
NPI 1659196848
Pharmacist in Fremont, CA

Active since November 21, 2024
4067 PERALTA BLVD, FREMONT, CA 94536(510) 793-5096 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Widjaja Pharmd NPPES

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

TIMOTHY WIDJAJA PHARMD (NPI 1659196848) is an individual pharmacist in Fremont, California, licensed in California (90387) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1659196848
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameTIMOTHY WIDJAJACredential: PHARMD
Location Address4067 PERALTA BLVDFremont, CA 94536-4849
Mailing Address4067 Peralta BlvdFremont, CA 94536-4849 · (510) 793-5096
Sole ProprietorNo
Enumeration DateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
NPI 1659196848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 90387
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.
4067 PERALTA BLVD, Fremont, CA 94536

Other Providers at the Same Location NPPES 2

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

Pharmacist
4067 PERALTA BLVD
FREMONT, CA 94536
Pharmacy (Long Term Care Pharmacy)
4067 PERALTA BLVD
FREMONT, CA 94536

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 Timothy Widjaja's NPI number?

The NPI number for Timothy Widjaja is 1659196848. It was assigned to this individual provider in the NPPES registry on November 21, 2024.

Where is Timothy Widjaja located?

Timothy Widjaja practices at 4067 Peralta Blvd, Fremont, CA 94536. The listed phone number is (510) 793-5096.

What is Timothy Widjaja'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 Timothy Widjaja was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.