Organization Active NPI

Salish Integrative Medicine, Inc

  • Community/Retail Pharmacy
  • Fife, WA
National Provider Identifier
1245861996
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SALISH INTEGRATIVE MEDICINE, INC
Practice address
3700 Pacific Hwy E Ste 100B
Fife, WA 98424-1160
Phone
(253) 382-6312
Fax
(253) 382-6301
NPI assigned
Jan 31, 2020
Organization subpart
Yes
Parent organization
SALISH INTEGRATIVE MEDICINE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Stanlee S Lu, MD
Title
Medical Director
Phone
(253) 382-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3700 Pacific Hwy E Ste 100B
Fife, WA 98424-1160

Mailing address

3700 Pacific Hwy E Ste 100
Fife, WA 98424-1160
Phone (253) 382-6300

Other names 1

  • Salish Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Salish Integrative Medicine Inc

Locations

3700 Pacific Hwy E
Ste 100B
Fife, WA 98424
Phone (253) 382-6312

3700 Pacific Hwy E
Ste 100
Tacoma, WA 98424
Phone (253) 382-6300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1245861996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 PACIFIC HWY E STE 100",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241160",
            "telephone_number": "253-382-6300",
            "fax_number": "253-382-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PACIFIC HWY E STE 100B",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241160",
            "telephone_number": "253-382-6312",
            "fax_number": "253-382-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISH INTEGRATIVE MEDICINE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALISH INTEGRATIVE MEDICINE, INC",
        "enumeration_date": "2020-01-31",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "STANLEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-382-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salish Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salish Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fife, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.