NPIMap

Organization Active NPI

Lake Travis Pharmacy Partners, LLC

  • Pharmacy
  • Austin, TX
National Provider Identifier
1669803151
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LAKE TRAVIS PHARMACY PARTNERS, LLC
Practice address
12005 Bee Cave Rd
Suite 1a
Austin, TX 78738
Phone
(214) 734-8878
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Mr. Bruce Medicine Shoppes, McAnally, RPHNPI 1013069707
Title
Owner
Phone
(214) 734-8878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X TX Primary

Addresses

Primary practice location

12005 Bee Cave Rd
Suite 1a
Austin, TX 78738

Mailing address

2535 Eldorado Pkwy
McKinney, TX 75070-4366
Phone (214) 734-8878

Other names 1

  • Lake Hills Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake Hills Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1669803151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 ELDORADO PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704366",
            "telephone_number": "214-734-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 BEE CAVE RD",
            "address_2": "SUITE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "214-734-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TRAVIS PHARMACY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "MCANALLY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MEDICINE SHOPPES,",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-734-8878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Hills Pharmacy",
            "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 Dec 9, 2013; 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.