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Active NPI 1063704732 Individual Practitioner Male Practitioner

Suresha Hanumanahalli Basavaraj , PHARMACIST

Pharmacist • Chehalis, WA

Professional Overview & Biography Verified Profile Summary

Suresha Hanumanahalli Basavaraj, PHARMACIST is a registered healthcare professional specializing in Pharmacist in Chehalis, WA. Practice services are available at 1610 NW LOUISIANA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1610 Nw Louisiana Ave

Chehalis, WA 985321711

Telephone 3607401876
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1760698393

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Chehalis, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Chehalis, WA (7956 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-01
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH 60020887

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1669778130

Doctor of Pharmacy (Pharm.D.)

NPI 1982936134

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 01, 2025

Registered at 1610 NW LOUISIANA AVE, CHEHALIS, WA 985321711 (Tel: 3607401876)

📍
Updated Business Mailing Address November 01, 2025

Registered at 1610 NW LOUISIANA AVE, CHEHALIS, WA 985321711 (Tel: 3607401876)

👤
Provider Name / Credentials Updated November 01, 2025

Recorded as SURESHA HANUMANAHALLI BASAVARAJ, PHARMACIST

NPI Profile Active May 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 12, 2011

Registered at 909 E YELM AVE, YELM, WA 985979425 (Tel: 3604589011)

📍
Updated Business Mailing Address May 12, 2011

Registered at 909 E YELM AVE, YELM, WA 985979425 (Tel: 3604589011)

👤
Provider Name / Credentials Updated May 12, 2011

Recorded as SURESH BASAVARAJ, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2011

Pharmacist (License #PH 60020887 in WA)

🟢
Initial NPI Registration & Enumeration May 12, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063704732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2011
Last Update: November 01, 2025
Sole Proprietor: No

Mailing Address

1610 Nw Louisiana Ave

Chehalis, WA 985321711

Phone: 3607401876

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.