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Suresha Hanumanahalli Basavaraj, PHARMACIST

NPI 1063704732ActiveIndividual· Pharmacist· Chehalis, WA

Pharmacist (PHARMACIST) in Chehalis, Washington, licensed in WA, with an NPI issued in May 2011. Part D covered 123 prescriptions written in 2024.

Overview

NPI1063704732
StatusActive
Entity typeIndividual
CredentialPHARMACIST
Sole proprietorNo
NPI issuedMay 12, 2011
Last updated in NPPESNov 1, 2025
Certified by providerNov 1, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPH 60020887WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)123 · 124 30-day fills
Patients97
Total drug cost$17,561

Medicare sources and data years

Other Pharmacist providers in Chehalis

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