Lucile Salter Packard Children's Hospital At Stanford
Home Infusion Therapy Pharmacy
4600 Bohannon Dr, Suite 105, Menlo Park
California, 94025-1034
650-497-8316 650-497-8320
Lucile Salter Packard Children's Hospital At Stanford is a Home Infusion Therapy Pharmacy in Menlo Park, California. It is located at 4600 Bohannon Dr, Suite 105, Menlo Park and it's customer support contact number is 650-497-8316. The authorized person of Lucile Salter Packard Children's Hospital At Stanford is Marisa Ng, PHARM.D. who is Asst. Director Of Pharmacy of the pharmacy and his contact number is 650-497-8391. Lucile Salter Packard Children's Hospital At Stanford accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lucile Salter Packard Children's Hospital At Stanford 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.
Pharmacy Details:
Lucile Salter Packard Children's Hospital At Stanford type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Lucile Salter Packard Children's Hospital At Stanford |
| Type: | Home Infusion Therapy Pharmacy |
| Location: | 4600 Bohannon Dr, Suite 105, Menlo Park,
California, 94025-1034 |
| Phone: | 650-497-8316 |
| Fax: | 650-497-8320 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Marisa Ng |
| Credentials: | PHARM.D. |
| Position: | Asst. Director Of Pharmacy |
| Contact Number: | 650-497-8391 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1407864374 |
| NPI Enumeration Date: | 04 Aug, 2006 |
| NPI Last Update On: | 05 Aug, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lucile Salter Packard Children's Hospital At Stanford are as mentioned below.
| Specialization | License Number | State | Status | |
| Home Infusion Therapy Pharmacy | | | Primary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0549381 | Other | | Nabp |
| ZZZ41694Z | Other | | Blue Shield Home Infusion |
| FP0549381 | Other | | Blue Shield Pharm |
| 003751 | Other | | Blue Cross Provider# |
| PHA 407800 | Medicaid | California | |
Medicare Enrollment:
Lucile Salter Packard Children's Hospital At Stanford is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9436121720 | O20110310000374 | Lucile Salter Packard Children's Hospital At Stanford | DME SUPPLIER - PHARMACY |
Products Available:
Lucile Salter Packard Children's Hospital At Stanford has following products available for sale under medicare.
| Products: |
|---|
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Infusion Pumps & Supplies: External Infusion | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4600 Bohannon Dr, Suite 105
Menlo Park, California |
| Zip: | 94025-1034 |
| Phone Number: | 650-497-8316 |
| Fax Number: | 650-497-8320 |
Patients can reach Lucile Salter Packard Children's Hospital At Stanford at
4600 Bohannon Dr, Suite 105, Menlo Park, California or can
call on customer care at 650-497-8316.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.