Fiesta Lifecare Pharmacy 4 LLC
NPI 1356883821 · Community/Retail Pharmacy · Balch Springs, TX
Fiesta Lifecare Pharmacy 4 LLC is a Community/Retail Pharmacy organization in Balch Springs, TX (NPI 1356883821).
Provider details
- NPI number
- 1356883821
- 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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Fiesta Lifecare Pharmacy 4, LLC
Registry dates
- Enumerated
- 2016-11-15
- Last updated
- 2025-09-19
Frequently asked questions
- What is Fiesta Lifecare Pharmacy 4 LLC's NPI number?
- Fiesta Lifecare Pharmacy 4 LLC's National Provider Identifier (NPI) is 1356883821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fiesta Lifecare Pharmacy 4 LLC?
- Fiesta Lifecare Pharmacy 4 LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Fiesta Lifecare Pharmacy 4 LLC located?
- Fiesta Lifecare Pharmacy 4 LLC's practice location on file with NPPES is 4202 Pioneer Rd, Balch Springs, TX 75180-3537.
- What is Fiesta Lifecare Pharmacy 4 LLC's phone number?
- The practice phone number listed in the NPPES registry for Fiesta Lifecare Pharmacy 4 LLC is (972) 557-3535.
- Who is the authorized official for Fiesta Lifecare Pharmacy 4 LLC?
- The authorized official listed on Fiesta Lifecare Pharmacy 4 LLC'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 Fiesta Lifecare Pharmacy 4 LLC's NPI active?
- Yes — Fiesta Lifecare Pharmacy 4 LLC's NPI (1356883821) 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.