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

Individual provider Pharmacist · NPI 1952922742

Nicholas Albert Tedjakesuma, PHARMD is a Pharmacist in Norwalk, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
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

11930 Studebaker Rd
Norwalk, CA 90650-7548
Phone: (562) 864-8138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2200 E Willow St, Long Beach, CA 90755-2132 — (562) 427-2537

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 82043 (CA)

Record details

NPI number1952922742
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 3, 2020
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023
Mailing address6100 Pacific Blvd, Huntington Park, CA 90255-2923

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