Organization Active NPI

Panorama Pharmacy Inc

  • Community/Retail Pharmacy
  • Lacey, WA
National Provider Identifier
1689427346
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PANORAMA PHARMACY INC
Doing business as
Panorama Pharmacy
Practice address
1751 Circle LN SE
Lacey, WA 98503-2570
Phone
(360) 438-3072
Fax
(360) 438-3532
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sunil ThimmegowdaNPI 1689906133
Title
Owner
Phone
(360) 438-3072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1751 Circle LN SE
Lacey, WA 98503-2570

Mailing address

2539 Marvin Rd NE Ste E
Lacey, WA 98516-3175
Phone (360) 438-3072

Other names 1

  • Panorama Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240710001554 WA DME Supplier - Pharmacy 6204371610 Practice locations: Lacey, WA
O20240724002888 WA Part B Supplier - Mass Immunization (Roster Biller Only) 6204371610 Practice locations: Lacey, WA

National Provider Directory

National Provider Directory

Locations

1751 Circle Ln SE
Lacey, WA 98503
Phone (360) 456-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721433600000",
    "number": "1689427346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 MARVIN RD NE STE E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985163175",
            "telephone_number": "360-438-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 CIRCLE LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032570",
            "telephone_number": "360-438-3072",
            "fax_number": "360-438-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "THIMMEGOWDA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-438-3072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panorama Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Panorama Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.