Lifecare Pharmacy Medical Drive
Pharmacy, Community/Retail Pharmacy in San Antonio, TX. Organization (NPI-2).
NPI number1669924569
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1669924569
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifecare Pharmacy Medical Drive
- Organization subpart
- No
- Enumeration date
- Oct 27, 2016
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 31269 | TX | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Fiesta Lifecare Pharmacy 1 LLC (Doing Business As)
Practice location
4458 Medical Dr Ste 115San Antonio, TX 78229-3700
Phone 214-351-0007 · Fax 214-351-1750
Mailing address
Po Box 12929San Antonio, TX 78212-0929
Phone 210-881-0890 · Fax 210-569-6464
Authorized official
Prem Kalidindi
Board Member
9177698014
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Retail Pharmacy providers in San Antonio, TX
- 15rx LLCNPI 1447604632
- 3 Wild Ones LLCNPI 1134540917
- 340b Partners Pharmacy LLCNPI 1841459328
- Aditya Pharmacy LLCNPI 1447884689
- Alamo Care Pharmacy LLCNPI 1134953391
- Alamo City Pharmacy LLCNPI 1750788329
- Alamo Ranch PharmacyNPI 1578078655
- Allaymeds INCNPI 1275281297
- American Specialty Pharmacy INCNPI 1720496276
- Avita Drugs, LLCNPI 1295888949
All 256 Community/Retail Pharmacy providers in San Antonio · All 48,677 providers in San Antonio
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.