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GALVESTON SPECIALTY PHARMACY
NPI 1174065643
Pharmacy - Community/Retail Pharmacy in Galveston, TX

Active since November 15, 2016
707 23RD ST, SUITE F, GALVESTON, TX 77550(409) 877-7029(281) 549-5957 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2019, Jan 22, 2019, Jul 27, 2018 and 1 more (4 updates tracked since 2016).

About Galveston Specialty Pharmacy NPPES

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

GALVESTON SPECIALTY PHARMACY (NPI 1174065643) is a healthcare organization registered as a community/retail pharmacy in Galveston, Texas and active in the NPI registry since November 2016. The organization lists Prem Kalidindi, Officer, as its authorized official.

NPPES Registry Identity

NPI1174065643
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFIESTA LIFECARE PHARMACY 3 LLC
Location Address707 23RD ST, SUITE FGalveston, TX 77550
Mailing Address707 23rd St, Suite FGalveston, TX 77550 · (409) 877-7029 · Fax (281) 549-5957
Phone(409) 877-7029
Fax(281) 549-5957
Organization SubpartNo
Authorized OfficialPrem KalidindiOfficer · (917) 769-8014
Enumeration DateNovember 15, 2016
Last NPPES UpdateDecember 13, 20194 updates tracked since enumeration
✔ NPI 1174065643 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 · 31265
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
707 23RD ST, Galveston, TX 77550
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Other Names 1

Doing Business AsGalveston Specialty Pharmacy

Other Identifiers 3

Medicaid14594TX
Other2164062Pk
Medicaid150052TX

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.

WESTCHASE ASSET & ESCROW LTD., CO
Pharmacy (Community/Retail Pharmacy)
707 23RD ST, SUITE F
GALVESTON, TX 77550
Galveston County (409) 497-2767

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 3 LLC's NPI number?

The NPI number for Fiesta Lifecare Pharmacy 3 LLC is 1174065643. It was assigned to this organization in the NPPES registry on November 15, 2016. The provider is doing business as Galveston Specialty Pharmacy.

Where is Fiesta Lifecare Pharmacy 3 LLC located?

Fiesta Lifecare Pharmacy 3 LLC is located at 707 23rd St Suite F, Galveston, TX 77550. The listed phone number is (409) 877-7029.

What is Fiesta Lifecare Pharmacy 3 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 3 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 54 other insurers list Fiesta Lifecare Pharmacy 3 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 3 LLC was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.