NPIMap

Organization Active NPI

Stanford University Student Health Center Pharmacy

  • Clinic Pharmacy
  • Stanford, CA
National Provider Identifier
1114089745
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
PHY 45915 Issued in CA
Legal business name
STANFORD UNIVERSITY STUDENT HEALTH CENTER PHARMACY
Practice address
866 Campus Dr
Stanford, CA 94305-8580
Phone
(650) 725-6160
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Amy M Baldwin
Title
Assoc. Dir. for Finance & Admin.
Phone
(650) 725-1366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X PHY 45915 CA Primary

Addresses

Primary practice location

866 Campus Dr
Stanford, CA 94305-8580

Mailing address

866 Campus Dr
Stanford, CA 94305-8580
Phone (650) 725-6160

National Provider Directory

National Provider Directory
Tax ID family
Stanford Univ Clinicob17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1114089745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058580",
            "telephone_number": "650-725-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058580",
            "telephone_number": "650-725-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD UNIVERSITY STUDENT HEALTH CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSOC. DIR. FOR FINANCE & ADMIN.",
        "authorized_official_telephone_number": "650-725-1366"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "PHY 45915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.