Hawks Prairie Pharmacy
NPI 1508292707ActiveOrganization· Pharmacy· Lacey, WA
Pharmacy in Lacey, Washington, registered in NPPES in September 2013. The authorized official on file is Sunil B. Thimmegowda, Owner/Pharmacist. Medicare paid $239,017 for services to 801 patients in 2024.
Overview
| NPI | 1508292707 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2013 |
| Last updated in NPPES | Nov 11, 2023 |
| Certified by provider | Nov 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHAR.CF.60409528 | WA |
| Clinic/Center | 261Q00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Managed Care Organization Pharmacy | 3336M0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (WA); Part B Supplier - Mass Immunization (Roster Biller Only) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 801 |
|---|---|
| Services billed | 2,948 across 12 procedure codes |
| Paid by Medicare | $239,017 |
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