LAKE TRAVIS PHARMACY PARTNERS LLC (NPI# 1285065870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285065870 |
| Entity Type | Organization |
| Organization Name | LAKE TRAVIS PHARMACY PARTNERS LLC |
| Other Organization Name | LAKE HILLS PHARMACY |
| Practice Address |
12005 Bee Cave Pkwy Ste 1a Austin TX 78738-6387 |
| Mailing Address |
12005 Bee Cave Rd Suite 1a Austin TX 78738 |
| Practice Telephone | 5126089355 |
| Mailing Telephone | 5126089355 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |
| Authorized Official Name | BRUCE MCANALLY (OWNER) |
| Authorized Official Telephone | 2147348878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 28908 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143234 | 01 |
| Other Name | Type Code |
|---|---|
| Lake Hills Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743844 | Lake Travis Pharmacy Partners LLC | Pharmacy | 12005 Bee Caves Rd Ste 1c, Bee Cave, TX 78738-6387 | 2020-03-02 |
| Street Address |
12005 BEE CAVE PKWY STE 1A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78738-6387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841808987 | Innovative Sports Therapy LLC | Clinic/Center | 3932-a Rr 620 S., Bee Cave, TX 78738 | 2020-07-15 |
| 1447807839 | Texas Physical Therapy Specialists | Durable Medical Equipment & Medical Supplies | 101 Medical Parkway, Suite 110, Lakeway, TX 78738 | 2019-08-21 |
| 1831744101 | Laurel Brynne Boyd | Physical Therapist | 2501 Rr 620, Suite 140, Lakeway, TX 78738 | 2019-08-05 |
| 1033777404 | Maria Wesley-pinion Lcsw Csat Pllc | Social Worker | 2802 Flintorock Trace, Suite B101, Lakeway, TX 78738 | 2019-05-31 |
| 1801362637 | Iq Dental Pllc | Dentist | 15511 State Highway 71 West, Suite # 120, Bee Cave, TX 78738 | 2018-10-19 |
| 1790264687 | Doctx3 Pllc | Orthopaedic Surgery | 11514 Bee Caves Rd., Suite 130, Bee Cave, TX 78738 | 2018-08-10 |
| 1710479530 | Herbert A Fritsche Jr. | Pathology | 12117 Bee Caves Road, Building 3 Suite 100, Austin, TX 78738 | 2018-06-06 |
| 1518456417 | Chemist Laboratory LLC | Pharmacy | 3944 Ranch Road 620s, Bldg 6, Bee Cave, TX 78738 | 2018-05-07 |
| 1700397809 | Katrina Balangue | Speech-Language Pathologist | 3595 Ranch Road 620 S Unit 220, Austin, TX 78738 | 2017-10-16 |
| 1013468586 | Muve - Lakeway Ambulatory Surgical Center, LLC | Clinic/Center | 5329 Serene Hills Drive, Suite 100, Lakeway, TX 78738 | 2016-10-20 |
| Find all providers in zip 78738 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518597780 | Docstation Inc. | Pharmacy | 2011 E 10th St, Austin, TX 78702-3409 | 2020-01-16 |
| 1528607157 | River City Pharmacy LLC | Pharmacy | 4150 Freidrich Ln Ste 1, Austin, TX 78744-1800 | 2019-12-30 |
| 1407345143 | Chemist Laboratory, LLC | Pharmacy | 3944 Ranch Road 620 S Bldg 6, Austin, TX 78738-6301 | 2018-05-08 |
| 1275030389 | Medlogs Inc. | Pharmacy | 2121 W Parmer Ln Ste 103c, #103c, Austin, TX 78727-4351 | 2018-04-06 |
| 1457857922 | Specialty Apothecary Group LLC | Pharmacy | 4515 Seton Center Pkwy Ste 175, Austin, TX 78759-5730 | 2018-04-03 |
| 1699295089 | Hgs Pharmacy LLC | Pharmacy | 9434 Parkfield Dr Ste A, Austin, TX 78758-6227 | 2017-06-26 |
| 1245765163 | Hhsc Wic Program | Pharmacy | 4616 W Howard Ln Ste 840, Austin, TX 78728-6300 | 2017-04-28 |
| 1285084467 | A.e. Pharmacy, LLC | Pharmacy | 220 Industrial Blvd Ste 100, Austin, TX 78745-1276 | 2016-06-17 |
| 1396194825 | Austin-travis County Mental Health and Mental Retardation | Pharmacy | 5015 S Interstate 35, Suite 200 C, Austin, TX 78744-2713 | 2016-06-06 |
| 1730537366 | Agape Force Solutions Inc | Pharmacy | 10401 Anderson Mill Rd Ste 112b, Austin, TX 78750-2579 | 2016-05-24 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.