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CRYSTAL CITY PHARMACY LLC
NPI 1548786395
Pharmacy - Community/Retail Pharmacy in Crystal City, TX

Active since August 14, 2017
1313 VETERANS AVE STE I, CRYSTAL CITY, TX 78839(830) 255-2201(830) 448-2020 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, Jul 19, 2018, Aug 14, 2017 (3 updates tracked since 2017).

About Crystal City Pharmacy Llc NPPES

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

CRYSTAL CITY PHARMACY LLC (NPI 1548786395), doing business as Crystal City Pharmacy, Llc, is a healthcare organization registered as a community/retail pharmacy in Crystal City, Texas and active in the NPI registry since August 2017. The organization lists Prem Kalidindi, Board Member, as its authorized official.

NPPES Registry Identity

NPI1548786395
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCRYSTAL CITY PHARMACY LLC
Location Address1313 VETERANS AVE STE ICrystal City, TX 78839-1651
Mailing AddressPo Box 12929San Antonio, TX 78212 · (210) 881-0890 · Fax (210) 569-6464
Phone(830) 255-2201
Fax(830) 448-2020
Organization SubpartNo
Authorized OfficialPrem KalidindiBoard Member · (917) 769-8014
Enumeration DateAugust 14, 2017
Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1548786395 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 · 31441
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
1313 VETERANS AVE STE I, Crystal City, TX 78839
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Other Names 1

Doing Business AsCrystal City Pharmacy, Llc

Other Identifiers 2

Other2170975Pk
Medicaid149678TX

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 ›

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 Crystal City Pharmacy LLC's NPI number?

The NPI number for Crystal City Pharmacy LLC is 1548786395. It was assigned to this organization in the NPPES registry on August 14, 2017. The provider is doing business as Crystal City Pharmacy, LLC.

Where is Crystal City Pharmacy LLC located?

Crystal City Pharmacy LLC is located at 1313 Veterans Ave Ste I, Crystal City, TX 78839. The listed phone number is (830) 255-2201.

What is Crystal City Pharmacy LLC's specialty?

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

What insurance does Crystal City Pharmacy 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 56 other insurers list Crystal City Pharmacy 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 Crystal City Pharmacy LLC was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.