Active NPI
Salish Integrative Medicine, Inc
- Community/Retail Pharmacy
- Fife, WA
National Provider Identifier
1245861996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Medical Oncology Physician
- Fife, WA
- NPI 1457740359
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.