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Fiesta Lifecare Pharmacy 3 LLC

Community/Retail Pharmacy in Galveston, TX · enumerated 2016 · authorized official Prem Kalidindi, Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174065643

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Registry record

Entity type Organization (Type 2)
Legal business name Fiesta Lifecare Pharmacy 3 LLC
Other name <Unavail>
Practice address 707 23rd St, Suite F, Galveston, TX, 77550
Phone (409) 877-7029
Fax (281) 549-5957
Enumeration date Nov 15, 2016
Last updated in NPPES Dec 13, 2019

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 31265 (TX) Primary

Authorized official

Name Prem Kalidindi
Title Officer
Phone (917) 769-8014

Other identifiers

Identifier Type State Issuer
150052 Medicaid TX -
2164062 Other - PK
14594 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Fiesta Lifecare Pharmacy 3 LLC?
Fiesta Lifecare Pharmacy 3 LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-13.