Tulalip Clinical Pharmacy

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

TULALIP CLINICAL PHARMACY

Doing business as

Tulalip Wellness Services

Practice address

8825 34TH Ave NE Ste a
Quil Ceda Village, WA 98271-8085

Phone

(357) 716-4000

Fax

(360) 716-3660

NPI assigned

May 5, 2020

Last updated

Aug 29, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

TULALIP CLINICAL PHARMACYAs reported in NPPES

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

Authorized official

Name

Kelvin Lee, PHARMDNPI 1902136344

Title

Director / Authorized Official

Phone

(360) 716-2660

Specialties & licenses 3

Addresses

Other names 1

• Tulalip Wellness Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Tulalip Clinical Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Tulalip, WA
  • NPI 1619193570

  4880857275

  Same PAC ID

Part of

Tulalip Clinical Pharmacy

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelvin Lee

  • Pharmacist
  • Lake Stevens, WA
  • NPI 1902136344
  NPD Authorized official
• Winnie Deechakawan-Miller, PHD, DNP, ARNP

  • Nurse Practitioner
  • Seattle, WA
  • NPI 1992195275

  TX

  Medicare reassignment
• Asaad B Awan, PHARMD

  • Pharmacist
  • Seattle, WA
  • NPI 1144342304
  NPD
• James Daniel Mensik

  • Pharmacist
  • Arlington, WA
  • NPI 1649526328
  NPD (past)

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1376164962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 34TH AVE NE STE A",
            "city": "QUIL CEDA VILLAGE",
            "state": "WA",
            "postal_code": "982718085",
            "telephone_number": "357-716-4000",
            "fax_number": "360-716-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 34TH AVE NE STE A",
            "city": "QUIL CEDA VILLAGE",
            "state": "WA",
            "postal_code": "982718085",
            "telephone_number": "357-716-4000",
            "fax_number": "360-716-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULALIP CLINICAL PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TULALIP CLINICAL PHARMACY",
        "enumeration_date": "2020-05-05",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "DIRECTOR / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "360-716-2660",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulalip Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tulalip Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bess-Marie Barr, LDO
• Chad Aaron Crosby, RPH
• Luxottica of America Inc (Oakley B050)
• Nhin Nguyen & Associates
• Quil Ceda Happy Dental, Inc (Quil Ceda Happy Dental)
• Tulalip Clinical Pharmacy
• Walmart Inc. (Walmart Pharmacy 10-2595)

• Multi-Specialty Clinic/Center in Quil Ceda Village, WA
• Providers in Quil Ceda Village, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.