NPIMap

Organization Active NPI

Legacy Salmon Creek Hospital

Doing business as Apothecary at Salmon Creek

  • Community/Retail Pharmacy
  • Vancouver, WA
National Provider Identifier
1790705275
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00058293 Issued in WA
Legal business name
LEGACY SALMON CREEK HOSPITAL
Doing business as
Apothecary at Salmon Creek
Practice address
2121 E 139TH St
Ste 310
Vancouver, WA 98686-2742
Phone
(360) 487-3700
NPI assigned
Jul 20, 2006
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY SALMON CREEK HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Sarah Jensen
Title
VP Finance
Phone
(503) 415-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X CF00058293 WA Primary

Addresses

Primary practice location

2121 E 139TH St
Ste 310
Vancouver, WA 98686-2742

Mailing address

PO Box 4037
Portland, OR 97208-4037
Phone (503) 413-3958

Other identifiers 1

IdentifierTypeStateIssuer
4931552OtherWANCPDP

Other names 1

  • Apothecary at Salmon Creek Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191014002294 WA DME Supplier - Pharmacy 0446295711 Practice locations: Vancouver, WA

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Legacy Salmon Creek Im5 organizations share this tax ID, including this one
Part of
Legacy Salmon Creek Im

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2121 NE 139th St
Ste 310
Vancouver, WA 98686
Phone (360) 487-3700

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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1790705275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4037",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084037",
            "telephone_number": "503-413-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E 139TH ST",
            "address_2": "STE 310",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862742",
            "telephone_number": "360-487-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SALMON CREEK HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY SALMON CREEK HOSPITAL",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "503-415-5145"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00058293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4931552",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothecary at Salmon Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.