NPIMap

Organization Active NPI

Lucile Salter Packard Children'S Hospital at Stanford

  • Clinic Pharmacy
  • Menlo Park, CA
National Provider Identifier
1487522207
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Practice address
4600 Bohannon Dr # 120
Menlo Park, CA 94025-1034
Phone
(650) 497-8289
Fax
(650) 497-8974
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Tiffany Wong
Title
Pharmacy Manager
Phone
(650) 497-8289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

4600 Bohannon Dr # 120
Menlo Park, CA 94025-1034

Mailing address

4600 Bohannon Dr # 120
Menlo Park, CA 94025-1034
Phone (650) 497-8289

Other identifiers 1

IdentifierTypeStateIssuer
PHY61357OtherCALICENSE

Other names 1

  • LPCH Outpatient & Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lucile Packard Children'S Hospital at Stanford12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1487522207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BOHANNON DR # 120",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251034",
            "telephone_number": "650-497-8289",
            "fax_number": "650-497-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BOHANNON DR # 120",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251034",
            "telephone_number": "650-497-8289",
            "fax_number": "650-497-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "650-497-8289"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PHY61357",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LPCH Outpatient & Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.