NPI age
9 years
Enumerated 2016-10-27
● Active Type 2 · Organization
Lifecare Pharmacy Medical Drive
Lifecare Pharmacy Medical Drive 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
Kalidindi
Board Member
Last NPPES update
2025-09-19
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
4458 Medical Dr Ste 115
San Antonio, TX 782293700
Mailing address
Po Box 12929
San Antonio, TX 782120929
Authorized official
Prem Kalidindi
Board Member
📞 9177698014
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 |
|---|---|---|
| 05 (TX) | 149592 | |
| 01 | 2164571 | PK |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Fiesta Lifecare Pharmacy 1 LLC
-
Fiesta Lifecare Pharmacy 1 LLC
Practice context
Single-site organization. Only one practice location on file.
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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.