Tristine Samberg, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60098185 Issued in WA

Practice address

405 SE Everett Mall Way
T-0337
Everett, WA 98208-3243

Phone

(425) 353-7967

Fax

(425) 353-7967

NPI assigned

Jun 8, 2011

Last updated

Jul 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310860800000",
    "number": "1043504822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SE EVERETT MALL WAY",
            "address_2": "T-0337",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083243",
            "telephone_number": "425-353-7967",
            "fax_number": "425-353-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SE EVERETT MALL WAY",
            "address_2": "T-0337",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083243",
            "telephone_number": "425-353-7967",
            "fax_number": "425-353-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBERG",
        "first_name": "TRISTINE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60098185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Hart Salskov, M.D.
• Kathryn Salstrom, MS, RD
• Rachel Meek Salud
• Dominique Salvino, MA
• Sam Oh,DMD,Inc
• Cecilia Sambou
• Karen Marie Sample, LPN
• Jeremiah Samples, LMP
• Monica Sampson
• V Edward Samson

• Pharmacist in Everett, WA
• Providers in Everett, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2011; 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.