1. Home
  2. Directory
  3. California
  4. Palo Alto
  5. Pharmacy
  6. NPI Profile

STANFORD HEALTH CARE
NPI 1053835595
Pharmacy - Specialty Pharmacy in Palo Alto, CA

Active since July 26, 2017
875 BLAKE WILBUR DR STE CC1102, PALO ALTO, CA 94304(650) 736-3800(650) 736-7991 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Aug 15, 2024, Aug 21, 2023 and 5 more (8 updates tracked since 2017).

About Stanford Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STANFORD HEALTH CARE (NPI 1053835595) is a healthcare organization registered as a specialty pharmacy in Palo Alto, California and active in the NPI registry since July 2017. The organization lists Hari Chandana Mulamalla, Executive Director,pharmacy Service, as its authorized official.

NPPES Registry Identity

NPI1053835595
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameSTANFORD HEALTH CARE
Location Address875 BLAKE WILBUR DR STE CC1102Palo Alto, CA 94304-2205
Mailing Address875 Blake Wilbur Dr Ste Cc1102Palo Alto, CA 94304-2205 · (650) 736-3800 · Fax (650) 736-7991
Phone(650) 736-3800
Fax(650) 736-7991
Organization SubpartYes
Authorized OfficialHari Chandana MulamallaExecutive Director,pharmacy Service · (312) 215-0088
Enumeration DateJuly 26, 2017
Last NPPES UpdateOctober 14, 20258 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1053835595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 55482 (CA)
875 BLAKE WILBUR DR STE CC1102, Palo Alto, CA 94304
Open in Google Maps ↗

Other Names 1

Other NameStanford Health Care Pharmacy

Other Identifiers 2

Other2170491Pk
MedicaidPENDINGCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Stanford Health Care Pharmacy carries, from the Medicare DMEPOS supplier directory.

Stanford Health Care Pharmacy

DMEPOS supplier · Palo Alto, CAOperated by Stanford Health Care
✔

Accepts Medicare assignment

Stanford Health Care Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20681831
Medicare Participant SinceJanuary 1, 1966
Supplier Location875 Blake Wilbur Dr Ste Cc1102Palo Alto, CA 94304
Phone(650) 736-3800
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN LEE MARTI RPH, PHARMD, AAHIVP
Pharmacist
875 BLAKE WILBUR DR STE CC1102
PALO ALTO, CA 94304
Santa Clara County (650) 736-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanford Health Care's NPI number?

The NPI number for Stanford Health Care is 1053835595. It was assigned to this organization in the NPPES registry on July 26, 2017. The provider is also known as Stanford Health Care Pharmacy.

Where is Stanford Health Care located?

Stanford Health Care is located at 875 Blake Wilbur Dr Ste Cc1102, Palo Alto, CA 94304. The listed phone number is (650) 736-3800.

What is Stanford Health Care's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Does Stanford Health Care accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Stanford Health Care Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Stanford Health Care accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Stanford Health Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stanford Health Care was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.