Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fiesta Lifecare Pharmacy 4 LLC

Organization Pharmacy · NPI 1356883821

Fiesta Lifecare Pharmacy 4 LLC is a Pharmacy in Balch Springs, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4202 Pioneer Rd
Balch Springs, TX 75180-3537
Phone: (972) 557-3535
Fax: (972) 557-4187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 31266 (TX)
Pharmacy Taxonomy 333600000X

Record details

NPI number1356883821
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prem Kalidindi — Board Member · (917) 769-8014
Other names Fiesta Lifecare Pharmacy 4, Llc
NPI enumeratedNovember 15, 2016
Last updated in NPPESSeptember 19, 2025
Mailing addressPo Box 631670, Irving, TX 75063

Other providers in Balch Springs