NPIMap

Organization Active NPI

Lake Travis Pharmacy Partners

  • Long Term Care Pharmacy
  • Austin, TX
National Provider Identifier
1750778783
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
28908 Issued in TX
Legal business name
LAKE TRAVIS PHARMACY PARTNERS
Practice address
12005 Bee Caves Road
Suite 1a
Austin, TX 78738
Phone
(512) 608-9355
Fax
(512) 608-9265
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Jobby John, PHARM.D
Title
Pharmacist/Partner
Phone
(512) 608-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 28908 TX Primary

Addresses

Primary practice location

12005 Bee Caves Road
Suite 1a
Austin, TX 78738

Mailing address

12005 Bee Caves Road
Suite 1a
Austin, TX 78738
Phone (512) 608-9355

Other identifiers 1

IdentifierTypeStateIssuer
1285065870OtherTXNPI

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.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1750778783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 BEE CAVES ROAD",
            "address_2": "SUITE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-608-9355",
            "fax_number": "512-608-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 BEE CAVES ROAD",
            "address_2": "SUITE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-608-9355",
            "fax_number": "512-608-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TRAVIS PHARMACY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "JOBBY",
        "authorized_official_title_or_position": "PHARMACIST/PARTNER",
        "authorized_official_telephone_number": "512-608-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "28908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285065870",
            "state": "TX"
        }
    ],
    "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 Apr 16, 2015; 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.