NPIMap

Organization Active NPI

Lamar Plaza Drug Store la&B, LLC

Doing business as Lamar Plaza Drug Store Long-Term Care

  • Long Term Care Pharmacy
  • Austin, TX
National Provider Identifier
1659879997
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
26383 Issued in TX
Legal business name
LAMAR PLAZA DRUG STORE LA&B, LLC
Doing business as
Lamar Plaza Drug Store Long-Term Care
Practice address
1509 S Lamar Blvd Ste 550
Austin, TX 78704-2988
Phone
(512) 442-6777
Fax
(512) 442-0555
NPI assigned
Jan 31, 2018
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
LA&B PHARMACY PARTNERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Lynh Ngoc Pham WarnkenNPI 1689129587
Title
Co-Owner, Phamd
Phone
(512) 442-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 26383 TX Primary

Addresses

Primary practice location

1509 S Lamar Blvd Ste 550
Austin, TX 78704-2988

Mailing address

1509 S Lamar Blvd Ste 550
Austin, TX 78704-2988
Phone (512) 442-6777

Other identifiers 1

IdentifierTypeStateIssuer
145999MedicaidTX

Other names 1

  • Lamar Plaza Drug Store Long-Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin Martin Medication3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1659879997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S LAMAR BLVD STE 550",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042988",
            "telephone_number": "512-442-6777",
            "fax_number": "512-442-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S LAMAR BLVD STE 550",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042988",
            "telephone_number": "512-442-6777",
            "fax_number": "512-442-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR PLAZA DRUG STORE LA&B, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA&B PHARMACY PARTNERS, LLC",
        "enumeration_date": "2018-01-31",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "WARNKEN",
        "authorized_official_first_name": "LYNH",
        "authorized_official_middle_name": "NGOC PHAM",
        "authorized_official_title_or_position": "CO-OWNER, PHAMD",
        "authorized_official_telephone_number": "512-442-6777"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "26383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145999",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lamar Plaza Drug Store Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.