Adrian Jonathan Ichwan, PHARMD

Pharmacist · Diamond Bar, CA

Individual Active NPI

NPI number 1619767092

Practice location

747 Grand Ave
Diamond Bar, CA 91765-8400
Phone
(909) 610-2150

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NPI record

NPI
1619767092
Entity type
Individual (Type 1)
Enumeration date
May 8, 2025
Last updated
July 17, 2025
Certified
July 17, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 90903 CA

Mailing address

1156 Hoskins Ln
San Ramon, CA 94582-5916

About Dr. Ichwan

Adrian Jonathan Ichwan, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 747 Grand Ave, Diamond Bar, CA 91765-8400. The NPI number 1619767092 was assigned on May 8, 2025 and the record was last updated on July 17, 2025.

Dr. Ichwan lists a license in the registry: #90903 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Adrian Jonathan Ichwan, PHARMD?

The NPI number is 1619767092.

What is the phone number of Dr. Ichwan?

The phone number listed for the practice location is (909) 610-2150.

Where is Dr. Ichwan located?

747 Grand Ave, Diamond Bar, CA 91765-8400.

What is the taxonomy code for Dr. Ichwan?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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