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WYCLIFF PHARMACY
NPI 1265974737
Pharmacy - Community/Retail Pharmacy in Dallas, TX

Active since November 15, 2016
4309 LEMMON AVE, DALLAS, TX 75219(972) 227-2126(972) 227-1678 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, May 3, 2018 and 1 more (4 updates tracked since 2016).

About Wycliff Pharmacy NPPES

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

WYCLIFF PHARMACY (NPI 1265974737), doing business as Fiesta Lifecare Pharmacy 6, Llc, is a healthcare organization registered as a community/retail pharmacy in Dallas, Texas and active in the NPI registry since November 2016. The organization lists Prem Kalidindi, Board Member, as its authorized official.

NPPES Registry Identity

NPI1265974737
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWYCLIFF PHARMACY
Location Address4309 LEMMON AVEDallas, TX 75219-2706
Mailing AddressPo Box 12929San Antonio, TX 78212-0929 · (210) 881-0890 · Fax (210) 569-6464
Phone(972) 227-2126
Fax(972) 227-1678
Organization SubpartNo
Authorized OfficialPrem KalidindiBoard Member · (917) 769-8014
Enumeration DateNovember 15, 2016
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
✔ NPI 1265974737 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 · 31268
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
4309 LEMMON AVE, Dallas, TX 75219
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Other Names 1

Doing Business AsFiesta Lifecare Pharmacy 6, Llc

Other Identifiers 2

Medicaid149597TX
Other2164698Pk

Other Providers at the Same Location NPPES 3

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

H & N PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
4309 LEMMON AVE
DALLAS, TX 75219
Dallas County (214) 331-4500
ABDUL HAMEED RPH
Pharmacy (Specialty Pharmacy)
4309 LEMMON AVE
DALLAS, TX 75219
Dallas County (214) 331-4500
H & N PHARMACY INC
Pharmacy (Specialty Pharmacy)
4309 LEMMON AVE
DALLAS, TX 75219
Dallas County (214) 331-4500

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 Wycliff Pharmacy's NPI number?

The NPI number for Wycliff Pharmacy is 1265974737. It was assigned to this organization in the NPPES registry on November 15, 2016. The provider is doing business as Fiesta Lifecare Pharmacy 6, LLC.

Where is Wycliff Pharmacy located?

Wycliff Pharmacy is located at 4309 Lemmon Ave, Dallas, TX 75219. The listed phone number is (972) 227-2126.

What is Wycliff Pharmacy's specialty?

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

When was this NPI record last updated?

The NPPES record for Wycliff Pharmacy was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.