TIFFANY SURYA ATMADJA PHARMD
NPI 1932050655
Pharmacist in Philadelphia, PA

Active since February 07, 2026
6150 N 5TH ST, PHILADELPHIA, PA 19120(215) 548-1110 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiffany Surya Atmadja Pharmd NPPES

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

TIFFANY SURYA ATMADJA PHARMD (NPI 1932050655) is an individual pharmacist in Philadelphia, Pennsylvania, licensed in Pennsylvania (RP458601) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1932050655
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTIFFANY SURYA ATMADJACredential: PHARMD
Location Address6150 N 5TH STPhiladelphia, PA 19120-1423
Mailing Address7171 Gillespie StPhiladelphia, PA 19135-1203
Sole ProprietorYes
Enumeration DateFebruary 7, 2026
NPPES CertifiedFebruary 7, 2026
NPI 1932050655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in PA · RP458601
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.
6150 N 5TH ST, Philadelphia, PA 19120

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
6150 N 5TH ST
PHILADELPHIA, PA 19120
Pharmacy (Community/Retail Pharmacy)
6150 N 5TH ST
PHILADELPHIA, PA 19120
Pharmacist
6150 N 5TH ST
PHILADELPHIA, PA 19120
Pharmacy
6150 N 5TH ST
PHILADELPHIA, PA 19120
Pharmacist
6150 N 5TH ST
PHILADELPHIA, PA 19120

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 Tiffany Atmadja's NPI number?

The NPI number for Tiffany Atmadja is 1932050655. It was assigned to this individual provider in the NPPES registry on February 7, 2026.

Where is Tiffany Atmadja located?

Tiffany Atmadja practices at 6150 N 5th St, Philadelphia, PA 19120. The listed phone number is (215) 548-1110.

What is Tiffany Atmadja'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 Tiffany Atmadja was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.