Jie Giok Rahardja, PHARMD - Pharmacist in Santa Rosa, CA

Jie Giok Rahardja, PHARMD is a Pharmacist based in Santa Rosa, California. Jie Giok Rahardja is licensed to practice in California (license number 62966) and her current practice location is 401 Bicentennial Way, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at (707) 393-4652.

NPI number for Jie Giok Rahardja is 1013296656 and her current mailing address is 121 Verde Ct, Petaluma, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013296656.

Contact Information

Jie Giok Rahardja, PHARMD
401 Bicentennial Way,
Santa Rosa, CA 95403-2149
(707) 393-4652
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJie Giok Rahardja
GenderFemale
SpecialityPharmacist
Location401 Bicentennial Way, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013296656
  • Provider Enumeration Date: 08/14/2011
  • Last Update Date: 08/14/2011

Medical Identifiers

Medical identifiers for Jie Giok Rahardja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013296656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 62966 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jie Giok Rahardja is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jie Giok Rahardja, PHARMD
121 Verde Ct,
Petaluma, CA 94954-1545

Ph: (707) 769-9361
Jie Giok Rahardja, PHARMD
401 Bicentennial Way,
Santa Rosa, CA 95403-2149

Ph: (707) 393-4652

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.