Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659196848 Individual Practitioner Male Practitioner

Dr. Timothy Widjaja , PharmD

Pharmacist • Fremont, CA

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Widjaja, PharmD is a registered healthcare professional specializing in Pharmacist in Fremont, CA. Practice services are available at 4067 PERALTA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4067 Peralta Blvd

Fremont, CA 945364849

Telephone 5107935096
Associated Practice Facility / Clinic
🏢 Hallers Ltc Pharmacy, Inc. Facility NPI 1366598161

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fremont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
184 Specialists

Practicing in Fremont, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 90387

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1336537869

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2024

Registered at 4067 PERALTA BLVD, FREMONT, CA 945364849 (Tel: 5107935096)

📍
Updated Business Mailing Address November 21, 2024

Registered at 4067 PERALTA BLVD, FREMONT, CA 945364849 (Tel: 5107935096)

👤
Provider Name / Credentials Updated November 21, 2024

Recorded as TIMOTHY WIDJAJA, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2024

Pharmacist (License #90387 in CA)

🟢
Initial NPI Registration & Enumeration November 21, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659196848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2024
Last Update: November 21, 2024
Sole Proprietor: No

Mailing Address

4067 Peralta Blvd

Fremont, CA 945364849

Phone: 5107935096

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.