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

Lifecare Pharmacy Medical Drive

Organization Pharmacy · NPI 1669924569

Lifecare Pharmacy Medical Drive is a Pharmacy in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4458 Medical Dr Ste 115
San Antonio, TX 78229-3700
Phone: (214) 351-0007
Fax: (214) 351-1750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 31269 (TX)
Pharmacy Taxonomy 333600000X

Record details

NPI number1669924569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prem Kalidindi — Board Member · (917) 769-8014
Other names Fiesta Lifecare Pharmacy 1 Llc; Fiesta Lifecare Pharmacy 1 Llc
NPI enumeratedOctober 27, 2016
Last updated in NPPESSeptember 19, 2025
Mailing addressPo Box 12929, San Antonio, TX 78212-0929

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