MACHDANELLA HASIBUAN PHARMD
NPI 1912497736
Pharmacist in Ontario, CA

Active since May 17, 2018
1333 N MOUNTAIN AVE, ONTARIO, CA 91762(909) 321-3172 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Machdanella Hasibuan Pharmd NPPES

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

MACHDANELLA HASIBUAN PHARMD (NPI 1912497736) is an individual pharmacist in Ontario, California, licensed in California (RPH47700) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1912497736
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMACHDANELLA HASIBUANCredential: PHARMD
Location Address1333 N MOUNTAIN AVEOntario, CA 91762-1105
Mailing Address1333 N Mountain AveOntario, CA 91762-1105 · (909) 321-3172
Sole ProprietorYes
Enumeration DateMay 17, 2018
NPI 1912497736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · RPH47700
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.
1333 N MOUNTAIN AVE, Ontario, CA 91762

Other Identifiers 1

OtherWMW05780287WAR · Blue Cross Blueshild

Other Providers at the Same Location NPPES 5

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

Pharmacist
1333 N MOUNTAIN AVE
ONTARIO, CA 91762
Pharmacist
1333 N MOUNTAIN AVE
ONTARIO, CA 91762
Pharmacy (Community/Retail Pharmacy)
1333 N MOUNTAIN AVE
ONTARIO, CA 91762
Optometrist
1333 N MOUNTAIN AVE
ONTARIO, CA 91762
Eyewear Supplier
1333 N MOUNTAIN AVE
ONTARIO, CA 91762

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 Machdanella Hasibuan's NPI number?

The NPI number for Machdanella Hasibuan is 1912497736. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Machdanella Hasibuan located?

Machdanella Hasibuan practices at 1333 N Mountain Ave, Ontario, CA 91762. The listed phone number is (909) 321-3172.

What is Machdanella Hasibuan'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 Machdanella Hasibuan was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.