Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mario Listiawan, PHARMD

Individual provider Pharmacist · NPI 1295006609

Dr. Mario Listiawan, PHARMD is a Pharmacist in Rancho Cordova, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

10811 International Dr
Rancho Cordova, CA 95670-7368
Phone: (916) 503-1910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 65574 (CA)

Record details

NPI number1295006609
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJanuary 16, 2012
Last updated in NPPESJanuary 16, 2012

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