Active NPI
Haneen Mahmood
- Pharmacist
- Lacey, WA
National Provider Identifier
1689538621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH70013682
- Practice address
- 2539 Marvin Rd NE
Lacey, WA 98516-3177 - Phone
- (360) 438-3072
- NPI assigned
- Dec 15, 2025
- Last updated
- Dec 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH70013682 | WA | Primary |
Addresses
Primary practice location
2539 Marvin Rd NE
Lacey, WA 98516-3177
Mailing address
21800 Pacific Hwy S Apt G208
Des Moines, WA 98198-7790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH70013682 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1689538621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21800 PACIFIC HWY S APT G208",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981987790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2539 MARVIN RD NE",
"city": "LACEY",
"state": "WA",
"postal_code": "985163177",
"telephone_number": "360-438-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOOD",
"first_name": "HANEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-15",
"last_updated": "2025-12-15",
"certification_date": "2025-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH70013682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.