HAWKS PRAIRIE PHARMACY (NPI# 1508292707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508292707 |
| Entity Type | Organization |
| Organization Name | HAWKS PRAIRIE PHARMACY |
| Other Organization Name | HAWKS PRAIRIE HEALTH MART PHARMACY |
| Practice Address |
2539 Marvin Rd Ne Ste E Lacey WA 98516-3177 |
| Practice Telephone | 3604383072 |
| Practice Fax Number | 3604383532 |
| Mailing Telephone | 3604383072 |
| Mailing Fax Number | 3604383532 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | MR. SUNIL B THIMMEGOWDA (OWNER/PHARMACIST) |
| Authorized Official Telephone | 3604383072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHAR.CF.60409528 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE MASS IMMUNIZATION | G8924654 | 01 |
| Other Name | Type Code |
|---|---|
| HAWKS PRAIRIE HEALTH MART PHARMACY | Doing Business As Name - Organization |
| Street Address |
2539 MARVIN RD NE STE E |
| City | LACEY |
| State | WA |
| Zip Code | 98516-3177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437113230 | Constance Howe | Optometrist | 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516 | 2006-04-17 |
| 1356724009 | Aron Piranio | Optometrist | 2539 Marvin Rd Ne, Suite B, Lacey, WA 98516-3177 | 2015-06-30 |
| 1558616615 | Sarah Lynn Kraszeski | Pharmacist | 2539 Marvin Rd Ne, Lacey, WA 98516 | 2012-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144245788 | Fred Meyer Stores Inc | Pharmacy | 4775 Whitman Ln Se, Lacey, WA 98513-2245 | 2006-07-13 |
| 1215968342 | Kmart of Washington LLC | Pharmacy | 4141 Martin Way E, Lacey, WA 98516-5351 | 2006-07-06 |
| 1730160433 | Metropolitan Medications LLC | Pharmacy | 5707 Lacey Blvd Se, Suite 103, Lacey, WA 98503-7228 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515644 | Allison Marie Hill | Pharmacy | 3 Spruce Ln, South Bend, WA 98586-9008 | 2020-07-20 |
| 1518504984 | Petersen Investments, LLC | Pharmacy | 12119 Ne 99th St Ste 2030, Vancouver, WA 98682-2461 | 2019-12-04 |
| 1033755731 | Scriptdash Inc | Pharmacy | 13010 Ne 20th St Ste 200, Bellevue, WA 98005-2034 | 2019-11-18 |
| 1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
| 1518517101 | The Bartell Drug Co | Pharmacy | 2506 2nd Ave, Seattle, WA 98121-1427 | 2019-09-16 |
| 1457904625 | University of Washington | Pharmacy | 750 Republican St Bldg F, Seattle, WA 98109-4766 | 2019-07-17 |
| 1508348020 | The Bartell Drug Co | Pharmacy | 9010 Market Pl, Lake Stevens, WA 98258-4908 | 2018-08-31 |
| 1144710922 | Healthpoint | Pharmacy | 947 Powell Ave Sw Ste B, Renton, WA 98057-2975 | 2018-05-16 |
| 1093202087 | Sixth Avenue Medical Building Pharmacy | Pharmacy | 508 W 6th Ave Ste 104, Spokane, WA 99204-2701 | 2018-04-16 |
| 1265935795 | The Bartell Drug Co | Pharmacy | 7423 204th St Ne, Arlington, WA 98223-8204 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.