OrganizationActive
Fiesta Lifecare Pharmacy 3 LLC
NPI 1174065643 · Community/Retail Pharmacy · Galveston, TX
Provider details
- NPI number
- 1174065643
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Prem Kalidindi, Officer(917) 769-8014
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
707 23rd St
Suite F
Galveston, TX 77550
Phone: (409) 877-7029
Fax: (281) 549-5957
Street-level locationGet directions
Mailing address
707 23rd St
Galveston, TX 77550
Other names (DBA / former)
- Doing business as
- Galveston Specialty Pharmacy
Registry dates
- Enumerated
- 2016-11-15
- Last updated
- 2019-12-13
- Certified
- 2019-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.