IndividualActive
Tarah Soebianto, PHARMD
NPI 1174178602 · Pharmacist · Monterey Park, CA
Provider details
- NPI number
- 1174178602
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 64502 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
249 E Pomona Blvd
Monterey Park, CA 91755-7237
Phone: (888) 499-9303
Street-level locationGet directions
Mailing address
1651 Country Club Dr
Glendale, CA 91208-2038
Registry dates
- Enumerated
- 2019-08-01
- Last updated
- 2019-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.