FIESTA LIFECARE PHARMACY 5 LLC
NPI 1104377332
Pharmacy - Community/Retail Pharmacy in Houston, TX

Q: What is Fiesta Lifecare Pharmacy 5 LLC's NPI number?

The NPI number for Fiesta Lifecare Pharmacy 5 LLC is 1104377332. It was assigned to this organization in the NPPES registry on October 24, 2016. The provider is doing business as Fiesta MLK Pharmacy.

Q: What is Fiesta Lifecare Pharmacy 5 LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since October 24, 2016

7900 FANNIN ST STE 1480, HOUSTON, TX 77054(915) 306-3222(915) 306-5222 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 26, 2026, Jul 30, 2020, Jul 19, 2018 and 2 more (5 updates tracked since 2016).

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About Fiesta Lifecare Pharmacy 5 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIESTA LIFECARE PHARMACY 5 LLC (NPI 1104377332) is a healthcare organization registered as a community/retail pharmacy in Houston, Texas and active in the NPI registry since October 2016. The organization lists Sirisha Kandi, Pharmacist Owner, as its authorized official.

NPPES Registry Identity

NPI1104377332

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameFIESTA LIFECARE PHARMACY 5 LLC

Location Address7900 FANNIN ST STE 1480Houston, TX 77054-2946

Mailing Address968 Condor DrCoppell, TX 75019-5985 · (972) 357-4477 · Fax (214) 426-7586

Phone(915) 306-3222

Fax(915) 306-5222

Organization SubpartNo

Authorized OfficialSirisha KandiPharmacist Owner · (972) 357-4477

Enumeration DateOctober 24, 2016

Last NPPES UpdateJuly 26, 20265 updates tracked since enumeration

NPPES CertifiedJuly 26, 2026

✔ NPI 1104377332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TX · 31267

Definition

A 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

7900 FANNIN ST STE 1480, Houston, TX 77054

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Other Names 2

Doing Business AsFiesta Lifecare Pharmacy 5 Llc

Doing Business AsFiesta Mlk Pharmacy

Other Identifiers 2

Other2164652Pk

Medicaid149805TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CUSTOM CARE RX LLC

Pharmacy (Community/Retail Pharmacy)

7900 FANNIN ST STE 1480
HOUSTON, TX 77054

Harris County (714) 717-7247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fiesta Lifecare Pharmacy 5 LLC's NPI number?

The NPI number for Fiesta Lifecare Pharmacy 5 LLC is 1104377332. It was assigned to this organization in the NPPES registry on October 24, 2016. The provider is doing business as Fiesta MLK Pharmacy.

Where is Fiesta Lifecare Pharmacy 5 LLC located?

Fiesta Lifecare Pharmacy 5 LLC is located at 7900 Fannin St Ste 1480, Houston, TX 77054. The listed phone number is (915) 306-3222.

What is Fiesta Lifecare Pharmacy 5 LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Fiesta Lifecare Pharmacy 5 LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 55 other insurers list Fiesta Lifecare Pharmacy 5 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fiesta Lifecare Pharmacy 5 LLC was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.