Healthcare Provider Details

I. General information

NPI: 1174809404
Provider Name (Legal Business Name): EMILY J. A. YOUNG RPH PHARMD BCPS BCCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY J. ANASTASIA RPH PHARMD BCPS BCCP

II. Dates (important events)

Enumeration Date: 11/01/2011
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 MIRANDA AVE
PALO ALTO CA
94304-1290
US

IV. Provider business mailing address

3801 MIRANDA AVE
PALO ALTO CA
94304-1290
US

V. Phone/Fax

Practice location:
  • Phone: 650-493-5000
  • Fax:
Mailing address:
  • Phone: 615-970-0566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0206X
TaxonomyCardiology Pharmacist
License NumberPS52503
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS52503
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS52503
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: