NPI age
9 years
Enumerated 2016-10-24
● Active Type 2 · Organization
Fiesta Lifecare Pharmacy 5 Llc
Fiesta Lifecare Pharmacy 5 Llc is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kandi
Pharmacist Owner
Last NPPES update
2020-07-30
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
9 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-10Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
3230 Martin Luther King JR Blvd
Dallas, TX 752102417
Mailing address
968 Condor Dr
Coppell, TX 750195985
Authorized official
Sirisha Kandi
Pharmacist Owner
📞 9723574477
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Sirisha Kandi, PHARMACIST Pharmacist NPI 1447586185
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2164652 | PK |
| 05 (TX) | 149805 |
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Fiesta Lifecare Pharmacy 5 LLC
-
Fiesta MLK Pharmacy
-
Fiesta Lifecare Pharmacy 5 LLC
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.