Lakes Area Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0068661 Issued in TX

Legal business name

LAKES AREA PHARMACY

Practice address

608 Buchanan Dr
Burnet, TX 78611-2306

Phone

(512) 756-8550

NPI assigned

Jul 16, 2008

Last updated

Jul 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cresta H Tate

Title

Controller

Phone

(512) 756-8550

Specialties & licenses 1

Addresses

Other names 1

• Dura Med, Inc. Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dura Med, Inc.

  dba Lakes Area Pharmacy & Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Llano, TX
  • NPI 1063578094

  O20100930040662

  Same enrollment

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1891959003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BUCHANAN DR",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786112306",
            "telephone_number": "512-756-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 BUCHANAN DR",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786112306",
            "telephone_number": "512-756-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "CRESTA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "512-756-8550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0068661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dura Med, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeremy L Danson OD PA (Burnet Eye Care)
• Elyssa J Johnson
• Meredith Jowers
• Kenneth Lester Malamud MD PLLC
• Kickstart Kids Therapy, PLLC (Kickstart Kids)
• Joseph Jeffrey Lamb, PAC
• David Tao-Way Lim, D.O.
• David L. Lindzey, M.D.
• John Baptiste Litterer, DDS
• Lone Star ABA Services LLC

• Durable Medical Equipment & Medical Supplies in Burnet, TX
• Providers in Burnet, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.