NICHOLAS ALBERT TEDJAKESUMA PHARM D
NPI 1952922742
Pharmacist in Norwalk, CA

Q: What is Nicholas Tedjakesuma's NPI number?

The NPI number for Nicholas Tedjakesuma is 1952922742. It was assigned to this individual provider in the NPPES registry on May 3, 2020.

Q: What is Nicholas Tedjakesuma's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Active since May 03, 2020

11930 STUDEBAKER RD, NORWALK, CA 90650(562) 864-8138 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2022, Jan 24, 2021, May 5, 2020 (3 updates tracked since 2020).

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About Nicholas Albert Tedjakesuma Pharm D NPPES

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

NICHOLAS ALBERT TEDJAKESUMA PHARM D (NPI 1952922742) is an individual pharmacist in Norwalk, California, licensed in California (82043) and active in the NPI registry since May 2020. He maintains a secondary practice location in Long Beach.

NPPES Registry Identity

NPI1952922742

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameNICHOLAS ALBERT TEDJAKESUMACredential: PHARM D

Location Address11930 STUDEBAKER RDNorwalk, CA 90650-7548

Mailing Address6100 Pacific BlvdHuntington Park, CA 90255-2923 · (323) 826-9775

Phone(562) 864-8138

Sole ProprietorNo

Enumeration DateMay 3, 2020

Last NPPES UpdateSeptember 18, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2023

✔ NPI 1952922742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in CA · 82043

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.

11930 STUDEBAKER RD, Norwalk, CA 90650

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Secondary Practice Location 1

Location 12200 E Willow StLong Beach, CA 90755-2132 · Phone (562) 427-2537

Other Providers at the Same Location NPPES 8

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

HAYEON CHI

Pharmacist