LAKE HILLS PHARMACY
NPI 1750778783
Pharmacy - Long Term Care Pharmacy in Austin, TX
- Organization
- Pharmacy
- Long Term Care Pharmacy
- CLIA Number: 45D2186211
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 06-14-2026
About LAKE HILLS PHARMACY
This page provides the complete NPI Profile along with additional information for Lake Hills Pharmacy, a provider established in Austin, Texas operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1750778783 assigned on April 2015. The practitioner's primary taxonomy code is 3336L0003X with license number 28908 (TX). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Lake Hills Pharmacy. The authorized official of this NPI record is Dr. Jobby John Pharm.d (Pharmacist/partner)
- NPI
- 1750778783 Verify this NPI
- Provider Legal Name
- LAKE TRAVIS PHARMACY PARTNERS
- Other Organization Name
- LAKE HILLS PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12005 BEE CAVES ROAD SUITE 1A AUSTIN, TX 78738
- Location Phone
- (512) 608-9355
- Location Fax
- (512) 608-9265
- Mailing Address
- 12005 BEE CAVES ROAD SUITE 1A AUSTIN, TX 78738
- Mailing Phone
- (512) 608-9355
- Mailing Fax
- (512) 608-9265
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-16-2015
- Last Update Date
- 04-16-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Long Term Care Pharmacy
- Taxonomy Code
- 3336L0003X
- Type
- Suppliers
- License No.
- 28908
- License State
- TX
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1285065870 | OTHER (01) | TX | NPI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2186211
- Facility Type
- Pharmacy
- Certificate Effective Date
- June 15, 2024
- Certificate Expiration Date
- June 14, 2026
- Laboratory Director
- JOBBY JOHN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Hills Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LAKE HILLS PHARMACY
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750778783, enumerated as an "organization" on April 16, 2015.
The provider is located at 12005 BEE CAVES ROAD SUITE 1A AUSTIN, TX 78738 and the phone number is (512) 608-9355.
Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
