LINCOLN PHARMACY – Community/Retail Pharmacy, NPI 1033120530

LINCOLN PHARMACY is a healthcare provider. based in Tacoma, Washington. specializing in Community/Retail Pharmacy. The organization holds a License No. CF00058222 (WA). The NPI Number for LINCOLN PHARMACY is 1033120530

Main info

Organization
Name
LINCOLN PHARMACY
NPI
1033120530
Phone
(253) 473-1155
Address
821 S 38TH ST
Authorized Official
PATRICK KELLY ODONNELL OWNER
Enumeration Date
10 August 2006
Last Update Date
18 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for LINCOLN PHARMACY

  • Lincoln Pharmacy, 821, South 38th Street, Lincoln International District, Tacoma, Pierce County, Washington, 98418, United States

    TACOMA, WA 984185028

    Phone: (253) 473-1155

    Fax: (253) 473-1158

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (584 days ago).

Enrollment records

2

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050802000602OMass Immunization (Roster Biller Only)WATBD
O20100930033577OPharmacyWA2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine764755$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage566558$0
90480Admn sarscov2 vacc 1 dose466466$0
91322Sarscov2 vac 50 mcg/0.5ml im274274$0
90674Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free198197$0
View full utilization report →

Insurance plans in this area (ZIP 98418)

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Reviews

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Frequently asked questions

How do I look up LINCOLN PHARMACY by NPI?
Use NPI 1033120530 when you need to reference LINCOLN PHARMACY in forms, claims, or directories.
Is LINCOLN PHARMACY currently active in the NPI registry?
CMS-published data lists LINCOLN PHARMACY as an active registrant.
What kind of provider is LINCOLN PHARMACY?
The page reflects Community/Retail Pharmacy for LINCOLN PHARMACY. Clinical services aligned with this taxonomy classification.
What location metadata exists for LINCOLN PHARMACY?
The page summarizes Tacoma, Washington for LINCOLN PHARMACY; expand the address list for detail.
How can I contact LINCOLN PHARMACY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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