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LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD NPI 1407864374


NPI Information

NPI: 1407864374
Provider Name: LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD

Doing Business As: A. LPCH CHILDREN'S HOME PHARMACY B. STANFORD HOME PHARMACY

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

Address:
4600 BOHANNON DR
SUITE 105
MENLO PARK, CA
ZIP 94025
Phone: (650) 497-8316
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LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD is a home infusion therapy pharmacy pharmacy in Menlo Park, CA. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD NPI is 1407864374. The provider is registered as an organization entity type.
The provider Is Doing Business As A. Lpch Children's Home Pharmacy B. Stanford Home Pharmacy.

The provider's business location address is:

4600 BOHANNON DR
SUITE 105
MENLO PARK, CA
ZIP 94025-034
Phone: (650) 497-8316
Fax: (650) 497-8320

The provider's authorized official is Marisa Ng .
The authorized official title is Asst. Director Of Pharmacy and has the following contact phone number (650) 497-8391.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 8/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336S0011XPharmacySpecialty PharmacyNo
23336H0001XPharmacyHome Infusion Therapy PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10549381OTHERNABP
2PHA 407800MEDICAIDCALIFORNIA
3ZZZ41694ZOTHERBLUE SHIELD HOME INFUSION
4003751OTHERBLUE CROSS PROVIDER#
5FP0549381OTHERBLUE SHIELD PHARM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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