Alto Pharmacy
Alto Pharmacy is a digital pharmacy company founded in 2015 and based in San Francisco, California. It emerged from the acquisition of AG Pharmacy, a community pharmacy. The founders, Jamie Karraker and Mattieu Gamache-Asselin, both former Facebook engineers, set out to enhance the prescription drug industry by merging expert pharmacist care with technology for a more convenient and patient-centered experience. Alto Pharmacy operates as a fully licensed pharmacy, offering services such as home delivery of prescriptions, personalized pharmacist care, and a mobile app for medication management. The company integrates with healthcare providers to streamline prescription fulfillment and ensure timely access to medications. Alto serves a diverse customer base, particularly individuals with chronic conditions who benefit from ongoing support and management. With over 900 employees and a commitment to innovation, Alto continues to grow, focusing on improving patient outcomes through technology and personalized care.
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Headcount trend
Alto Pharmacy went from 608 employees in Jul 2023 to 478 in Jun 2025. Jan to Jun 2025: 32 people joined, 20 left.
Headcount data through Jun 2025
Org structure
Headcount by department
Funding
- Sep 2023 · $120M
- Jan 2022 · Series E · $200M · Softbank Vision Fund
- Oct 2021 · Debt Financing · $36.4M · Olive Tree Capital, Greenoaks
- Jan 2021 · $1M · Olive Tree Capital, Greenoaks, Jackson Square Ventures
- Feb 2020 · Series D · $250M · SoftBank's second Vision Fund, Greenoaks Capital, Jackson Square Ventures
- Dec 2018 · Series C · $50M · Olive Tree Capital, Greenoaks Capital, Jackson Square Ventures
- Dec 2018 · Series C · $50M · Greenoaks Capital, Jackson Square Ventures.
- Jun 2017 · Series B · $20M · Greenoaks Capital, Jackson Square Ventures
Salaries at Alto Pharmacy
All salaries5 salary profiles in the US
Most reported roles
H-1B sponsorship
The department split adds up all the years listed above. FY2026 alone: 2 filings.
Peer reviews
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Anonymous peer reviews on OffTheRecord
Similar companies
Alto Pharmacy FAQ
How many employees does Alto Pharmacy have?
Alto Pharmacy has about 478 employees, up 0.2% over the 3 months to Jun 2025.
Does Alto Pharmacy sponsor H1B visas?
Yes. Alto Pharmacy filed 2 H1B (LCA) applications in FY2026, according to the latest U.S. Department of Labor disclosures. Most of them were for Engineering roles.
What is Alto Pharmacy's revenue per employee?
Alto Pharmacy makes about $1.46M in revenue per employee, based on $700M annual revenue and 478 employees.
How much does Alto Pharmacy pay?
6figr has 5 salary profiles for Alto Pharmacy in the US, with pay broken down by role, level, gender and ethnicity on the Alto Pharmacy salaries page. See Alto Pharmacy salaries
How much funding has Alto Pharmacy raised?
Alto Pharmacy has raised $727.47M in total funding.
Data from Company Prospectus, DOL LCA disclosures, WARN notices and 6figr salary profiles.