MICHELLE GANDAWIDJAJA
NPI 1871448795
Pharmacist in Newport Beach, CA
About Michelle Gandawidjaja NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE GANDAWIDJAJA (NPI 1871448795) is an individual pharmacist in Newport Beach, California, licensed in California (82814) and active in the NPI registry since March 2026.
NPPES Registry Identity
Specialties & Licenses
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.
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.
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
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 Michelle Gandawidjaja's NPI number?
The NPI number for Michelle Gandawidjaja is 1871448795. It was assigned to this individual provider in the NPPES registry on March 4, 2026.
Where is Michelle Gandawidjaja located?
Michelle Gandawidjaja practices at 1 Hoag Dr, Newport Beach, CA 92663. The listed phone number is (949) 764-4624.
What is Michelle Gandawidjaja'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 Michelle Gandawidjaja was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
