Organization · Type 2 NPI

Stanford Health Care

Specialty Pharmacy · Palo Alto, CA

NPI number 1053835595 Active

Practice location

875 Blake Wilbur Dr Ste CC1102
Palo Alto, CA 94304-2205

Fax (650) 736-7991

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	55482 (CA)
Specialty Pharmacy Primary	3336S0011X	None listed

Specialty Pharmacy: A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Another provider at this address

Ryan Lee Marti, RPH, PharmD, AAHIVPPharmacist Palo Alto, CA NPI 1689958563

NPI record

NPI: 1053835595
Entity type: Organization (Type 2)
Issued: Jul 26, 2017
Last updated: Oct 14, 2025
Status: Active
Subpart: Yes of Stanford Health Care

Other names

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Stanford Health Care Pharmacy · other name
Stanford Health Care Pharmacy · other name

Authorized official

Hari Chandana Mulamalla, PharmD
Executive Director,pharmacy Service
(312) 215-0088

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053835595

Stanford Health Care's National Provider Identifier is 1053835595, issued on Jul 26, 2017. The primary taxonomy on file is Specialty Pharmacy (3336S0011X), and the practice location is in Palo Alto, CA. The record was last updated on Oct 14, 2025.