OrganizationActive
Wycliff Pharmacy
NPI 1265974737 · Community/Retail Pharmacy · Dallas, TX
Wycliff Pharmacy is a Community/Retail Pharmacy organization in Dallas, TX (NPI 1265974737).
Provider details
- NPI number
- 1265974737
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Prem Kalidindi, Board Member(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
4309 Lemmon Ave
Dallas, TX 75219-2706
Phone: (972) 227-2126
Fax: (972) 227-1678
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12929
San Antonio, TX 78212-0929
Other names (DBA / former)
- Doing business as
- Fiesta Lifecare Pharmacy 6, LLC
- Doing business as
- Fiesta Lifecare Pharmacy 6, LLC
Registry dates
- Enumerated
- 2016-11-15
- Last updated
- 2025-09-19
Frequently asked questions
- What is Wycliff Pharmacy's NPI number?
- Wycliff Pharmacy's National Provider Identifier (NPI) is 1265974737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wycliff Pharmacy?
- Wycliff Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Wycliff Pharmacy located?
- Wycliff Pharmacy's practice location on file with NPPES is 4309 Lemmon Ave, Dallas, TX 75219-2706.
- What is Wycliff Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Wycliff Pharmacy is (972) 227-2126.
- Who is the authorized official for Wycliff Pharmacy?
- The authorized official listed on Wycliff Pharmacy's NPPES record is Prem Kalidindi, Board Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wycliff Pharmacy's NPI active?
- Yes — Wycliff Pharmacy's NPI (1265974737) is active in the NPPES registry as of the last update on 2025-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.