LAKE HILLS PHARMACY
NPI 1285065870
Pharmacy in Austin, TX

Active since December 06, 2013CLIA 45D2186211 · Waiver
12005 BEE CAVE PKWY STE 1A, AUSTIN, TX 78738(512) 608-9355 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Hills Pharmacy NPPES

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

LAKE HILLS PHARMACY (NPI 1285065870) is a healthcare organization registered as a pharmacy in Austin, Texas and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Bruce Mcanally, Owner, as its authorized official.

NPPES Registry Identity

NPI1285065870
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLAKE TRAVIS PHARMACY PARTNERS LLC
Location Address12005 BEE CAVE PKWY STE 1AAustin, TX 78738-6387
Mailing Address12005 Bee Cave Rd, Suite 1aAustin, TX 78738 · (512) 608-9355
Organization SubpartNo
Authorized OfficialBruce McanallyOwner · (214) 734-8878
Enumeration DateDecember 6, 2013
NPI 1285065870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in TX · 28908
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
12005 BEE CAVE PKWY STE 1A, Austin, TX 78738

Other Names 1

Doing Business AsLake Hills Pharmacy

Other Identifiers 1

Other2143234Pk

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 45D2186211

Lake Hills Pharmacy Compounding And Wellness Center · Austin, TX
Active · expires Jun 14, 2028
CLIA Number45D2186211
Laboratory TypePharmacy
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorJobby John
Laboratory Phone(512) 608-9355
Laboratory LocationLake Hills Pharmacy Compounding And Wellness Center12005 Bee Cave Road 111-A, Austin, TX 78738
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
242 services242 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
239 services239 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
25 services25 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
25 services25 patients

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 Lake Travis Pharmacy Partners LLC's NPI number?

The NPI number for Lake Travis Pharmacy Partners LLC is 1285065870. It was assigned to this organization in the NPPES registry on December 6, 2013. The provider is doing business as Lake Hills Pharmacy.

Where is Lake Travis Pharmacy Partners LLC located?

Lake Travis Pharmacy Partners LLC is located at 12005 Bee Cave Pkwy Ste 1A, Austin, TX 78738. The listed phone number is (512) 608-9355.

What is Lake Travis Pharmacy Partners LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Lake Travis Pharmacy Partners LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2186211) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Travis Pharmacy Partners LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 56 other insurers list Lake Travis Pharmacy Partners LLC 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 Lake Travis Pharmacy Partners LLC was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.