Sunil B Thimmegowda

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00053851 Issued in WA

Practice address

2539 Marvin Rd NE Ste E
Lacey, WA 98516-3175

Phone

(360) 438-3072

Fax

(360) 438-3532

NPI assigned

Feb 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hawks Prairie Pharmacy

  • Long Term Care Pharmacy
  • Lacey, WA
  • NPI 1376277236
  NPD Authorized official
• Hawks Prairie Pharmacy

  • Pharmacy
  • Lacey, WA
  • NPI 1508292707
  NPD Authorized official
• Panorama Pharmacy Inc

  • Community/Retail Pharmacy
  • Lacey, WA
  • NPI 1689427346
  NPD Authorized official

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1689906133",
    "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",
            "fax_number": "360-438-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 MARVIN RD NE STE E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985163175",
            "telephone_number": "360-438-3072",
            "fax_number": "360-438-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIMMEGOWDA",
        "first_name": "SUNIL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-09",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00053851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031538",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Optical Cross LLC
• The Reiki Massage Sanctuary PLLC
• The Right Step, Inc.
• The Whole Point PLLC
• Therapy Management Services, PLLC
• Srawan Kumar Thodupunoori, RPH.
• Andrew Thomas, CDPT
• Eric Daniel Thomas, D.O
• Kendra Lynn Thomas, MS, CCC-SLP
• Millenda Thomas, LMP

• Pharmacist in Lacey, WA
• Providers in Lacey, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.