Lake Travis Pharmacy Partners LLC
NPI 1285065870ActiveOrganization· Pharmacy· Austin, TX
Pharmacy in Austin, Texas, registered in NPPES in December 2013. The authorized official on file is Bruce McAnally, Owner. Medicare paid $69,240 for services to 259 patients in 2024.
Overview
| NPI | 1285065870 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2013 |
| Last updated in NPPES | Dec 6, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 28908 | TX |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 259 |
|---|---|
| Services billed | 878 across 8 procedure codes |
| Paid by Medicare | $69,240 |
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