Fifi Widajat, RPH PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

03-2-23466 Issued in OH

Practice address

3600 Soldano Blvd
Columbus, OH 43228-1458

Phone

(614) 274-8108

Fax

(614) 274-3417

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Kroger Co

  • Community/Retail Pharmacy
  • Columbus, OH
  • NPI 1669497376
  NPD (past)
• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1073594917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 FAREHARM DR",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549239",
            "telephone_number": "614-506-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SOLDANO BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281458",
            "telephone_number": "614-274-8108",
            "fax_number": "614-274-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDAJAT",
        "first_name": "FIFI",
        "name_prefix": "Miss",
        "credential": "RPH PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03-2-23466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah T. Wick, RD
• Penny Wickard
• Lorena Marie Wicklund, MD
• Shenali Wickramanayake, DO
• Tracy Elizabeth Wiczer, PHARMD, BCOP
• Amanda Salee Widau
• Catherine Angelica Widay
• Mary Louise Widders, R.PH.
• Kimberlyn Wideman
• Kailah Widen

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.