LYNN'S LA VEGA PHARMACY, INC
NPI 1194201178
Pharmacy - Long Term Care Pharmacy in Waco, TX

Active since July 13, 2018CLIA 45D1097530 · Waiver
2401 E WACO DR, WACO, TX 76705(254) 799-4949 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2018, Jul 13, 2018 (2 updates tracked since 2018).

About Lynn's La Vega Pharmacy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNN'S LA VEGA PHARMACY, INC (NPI 1194201178) is a healthcare organization registered as a long term care pharmacy in Waco, Texas and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Brady Lynn Everett, President, as its authorized official.

NPPES Registry Identity

NPI1194201178
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLYNN'S LA VEGA PHARMACY, INC
Location Address2401 E WACO DRWaco, TX 76705-3259
Mailing Address2401 E Waco DrWaco, TX 76705-3259 · (254) 799-4949
Organization SubpartNo
Authorized OfficialBrady Lynn EverettPresident · (254) 799-4949
Enumeration DateJuly 13, 2018
Last NPPES UpdateOctober 8, 20182 updates tracked since enumeration
NPI 1194201178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
2401 E WACO DR, Waco, TX 76705

Other Identifiers 2

Other2096115Pk
Medicaid141863TX

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1097530

Lynn's Lavega Pharmacy · Waco, TX
Active · expires May 28, 2028
CLIA Number45D1097530
Laboratory TypePharmacy
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorStephen Menard
Laboratory Phone(254) 799-4949
Laboratory LocationLynn's Lavega Pharmacy2401 E Waco Drive, Waco, TX 76705
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2401 E WACO DR
WACO, TX 76705
Pharmacist
2401 E WACO DR
WACO, TX 76705
Pharmacy (Community/Retail Pharmacy)
2401 E WACO DR
WACO, TX 76705
Pharmacist
2401 E WACO DR
WACO, TX 76705
Pharmacist
2401 E WACO DR
WACO, TX 76705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lynn's La Vega Pharmacy, Inc's NPI number?

The NPI number for Lynn's La Vega Pharmacy, Inc is 1194201178. It was assigned to this organization in the NPPES registry on July 13, 2018.

Where is Lynn's La Vega Pharmacy, Inc located?

Lynn's La Vega Pharmacy, Inc is located at 2401 E Waco Dr, Waco, TX 76705. The listed phone number is (254) 799-4949.

What is Lynn's La Vega Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Lynn's La Vega Pharmacy, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1097530) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lynn's La Vega Pharmacy, Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 12 other insurers list Lynn's La Vega Pharmacy, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lynn's La Vega Pharmacy, Inc was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.