1. Home
  2. Directory
  3. Washington
  4. Lacey
  5. Pharmacy
  6. NPI Profile

HAWKS PRAIRIE HEALTH MART PHARMACY
NPI 1508292707
Pharmacy in Lacey, WA

Active since September 19, 2013CLIA 50D2254898 · Waiver
2539 MARVIN RD NE, STE E, LACEY, WA 98516(360) 438-3072(360) 438-3532 Get Directions Write a Review

NPPES record last updated: November 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2023, Aug 9, 2023, Nov 17, 2020 and 1 more (4 updates tracked since 2016).

About Hawks Prairie Health Mart Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAWKS PRAIRIE HEALTH MART PHARMACY (NPI 1508292707) is a healthcare organization registered as a pharmacy in Lacey, Washington and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sunil B Thimmegowda, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1508292707
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHAWKS PRAIRIE PHARMACY
Location Address2539 MARVIN RD NE, STE ELacey, WA 98516-3177
Mailing Address2539 Marvin Rd Ne, Ste ELacey, WA 98516-3177 · (360) 438-3072 · Fax (360) 438-3532
Phone(360) 438-3072
Fax(360) 438-3532
Organization SubpartNo
Authorized OfficialSunil B ThimmegowdaOwner/pharmacist · (360) 438-3072
Enumeration DateSeptember 19, 2013
Last NPPES UpdateNovember 11, 20234 updates tracked since enumeration
NPPES CertifiedNovember 11, 2023
✔ NPI 1508292707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in WA · PHAR.CF.60409528
Definition

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.

Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X
2539 MARVIN RD NE, Lacey, WA 98516
Open in Google Maps ↗

Other Names 1

Doing Business AsHawks Prairie Health Mart Pharmacy

Other Identifiers 1

OtherG8924654WA · Medicare Mass Immunization

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2254898

Hawks Praire Health Mart Pharmacy · Lacey, WA
Active · expires Apr 4, 2028
CLIA Number50D2254898
Laboratory TypePharmacy
Certificate Effective DateMarch 8, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSunil Thimmegrowda
Laboratory Phone(360) 438-3072
Laboratory LocationHawks Praire Health Mart Pharmacy2539 Marvin Rd NE Ste E, Lacey, WA 98516
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
619 services608 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
388 services388 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
194 services194 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
36 services36 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
36 services36 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
16 services16 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELLE RENEE DURHAM O.D.
Optometrist
2539 MARVIN RD NE, SUITE B
LACEY, WA 98516
Thurston County (360) 459-3335
MYASAR HUSAM HALMI RPH
Pharmacist
2539 MARVIN RD NE
LACEY, WA 98516
Thurston County (360) 438-3072
MRS. CONSTANCE HOWE OD
Optometrist
2539 MARVIN RD NE, SUITE B
LACEY, WA 98516
Thurston County (360) 459-3333
DR. SARAH LYNN KRASZESKI PHARM.D.
Pharmacist
2539 MARVIN RD NE
LACEY, WA 98516
Thurston County (360) 438-3072
HANEEN MAHMOOD
Pharmacist
2539 MARVIN RD NE
LACEY, WA 98516
Thurston County (360) 438-3072
BRYCE BOWLES OD
Student in an Organized Health Care Education/Training Program
2539 MARVIN RD NE
LACEY, WA 98516
Thurston County (360) 459-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hawks Prairie Pharmacy's NPI number?

The NPI number for Hawks Prairie Pharmacy is 1508292707. It was assigned to this organization in the NPPES registry on September 19, 2013. The provider is doing business as Hawks Prairie Health Mart Pharmacy.

Where is Hawks Prairie Pharmacy located?

Hawks Prairie Pharmacy is located at 2539 Marvin Rd NE Ste E, Lacey, WA 98516. The listed phone number is (360) 438-3072.

What is Hawks Prairie Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Hawks Prairie Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2254898) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hawks Prairie Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Hawks Prairie Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hawks Prairie Pharmacy was last updated on November 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.