HAWKS PRAIRIE HEALTH MART PHARMACY – Pharmacy, NPI 1508292707
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HAWKS PRAIRIE HEALTH MART PHARMACY
2539 MARVIN RD NE
STE E
LACEY, WA 985163177
Phone: (360) 438-3072
Fax: (360) 438-3532
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: 2014-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (895 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20131211001364 | O | Mass Immunization (Roster Biller Only) | WA | TBD |
| O20140416000576 | O | Pharmacy | WA | 2023-12-31 |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 747 | 747 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 640 | 640 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 413 | 413 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 393 | 393 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 314 | 314 | $0 |
Insurance plans in this area (ZIP 98516)
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