Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Immanuel Aditya Tjahjadi

Individual provider Pharmacist · NPI 1295646263

Immanuel Aditya Tjahjadi is a Pharmacist in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

533 Parnassus Ave
San Francisco, CA 94143-2208
Phone: (626) 715-4062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 91180 (CA)

Record details

NPI number1295646263
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 16, 2026
Last updated in NPPESSeptember 16, 2026
Certification dateSeptember 16, 2026

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