Skip to content

Basava Purna Tiyyagura

NPI 1467797704ActiveIndividual· Pharmacist· Lacey, WA

Pharmacist in Lacey, Washington, licensed in WA, with an NPI issued in November 2012. Part D covered 772 prescriptions written in 2024, 0% of them generic.

Overview

NPI1467797704
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 27, 2012
Last updated in NPPESNov 27, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPH60210876WA

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)772 · 772 30-day fills
Patients379
Total drug cost$113,584
Generic share0% of claims

Medicare sources and data years

Other Pharmacist providers in Lacey

All Pharmacist providers in Washington →