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LIFECARE PHARMACY MEDICAL DRIVE
NPI 1669924569
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

Active since October 27, 2016
4458 MEDICAL DR STE 115, SAN ANTONIO, TX 78229(214) 351-0007(214) 351-1750 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 Lifecare Pharmacy Medical Drive NPPES

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

LIFECARE PHARMACY MEDICAL DRIVE (NPI 1669924569), doing business as Fiesta Lifecare Pharmacy 1 Llc, is a healthcare organization registered as a community/retail pharmacy in San Antonio, Texas and active in the NPI registry since October 2016. The organization lists Prem Kalidindi, Board Member, as its authorized official.

NPPES Registry Identity

NPI1669924569
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIFECARE PHARMACY MEDICAL DRIVE
Location Address4458 MEDICAL DR STE 115San Antonio, TX 78229-3700
Mailing AddressPo Box 12929San Antonio, TX 78212-0929 · (210) 881-0890 · Fax (210) 569-6464
Phone(214) 351-0007
Fax(214) 351-1750
Organization SubpartNo
Authorized OfficialPrem KalidindiBoard Member · (917) 769-8014
Enumeration DateOctober 27, 2016
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
✔ NPI 1669924569 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 · 31269
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
4458 MEDICAL DR STE 115, San Antonio, TX 78229
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Other Names 1

Doing Business AsFiesta Lifecare Pharmacy 1 Llc

Other Identifiers 2

Medicaid149592TX
Other2164571Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Lifecare Pharmacy Medical Drive's NPI number?

The NPI number for Lifecare Pharmacy Medical Drive is 1669924569. It was assigned to this organization in the NPPES registry on October 27, 2016. The provider is doing business as Fiesta Lifecare Pharmacy 1 LLC.

Where is Lifecare Pharmacy Medical Drive located?

Lifecare Pharmacy Medical Drive is located at 4458 Medical Dr Ste 115, San Antonio, TX 78229. The listed phone number is (214) 351-0007.

What is Lifecare Pharmacy Medical Drive's specialty?

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

What insurance does Lifecare Pharmacy Medical Drive accept?

Health plans from Medica list Lifecare Pharmacy Medical Drive 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 Lifecare Pharmacy Medical Drive 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.