JOHANNES K. GUNAWAN R.PH – NPI #1003097320
Pharmacist

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.

JOHANNES GUNAWAN is a pharmacist located in VILLAGES OF LARCHWOOD, TN. NPPES has assigned the NPI number 1003097320 to JOHANNES GUNAWAN on November 15, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHANNES GUNAWAN below.

NPI Profile for
JOHANNES K. GUNAWAN

NPI Number
1003097320
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHANNES K. GUNAWAN
Credentials
R.PH
Primary location
680 CONNECTICUT AVE
VILLAGES OF LARCHWOOD, TN 06854
Phone: (203) 854-8519 Fax: (203) 854-9526
Mailing address
39 MONROE STREET APARTMENT # 1
NEW YORK, NY 10002
Phone: (917) 324-7337 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)
CT 8699

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.