Crystal City Pharmacy LLC
NPI 1548786395 · Community/Retail Pharmacy · Crystal City, TX
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal City Pharmacy LLC is a Community/Retail Pharmacy organization in Crystal City, TX (NPI 1548786395).
Provider details
- NPI number
- 1548786395
- 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
8 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
- Crystal City Pharmacy, LLC
Registry dates
- Enumerated
- 2017-08-14
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Frequently asked questions
- What is Crystal City Pharmacy LLC's NPI number?
- Crystal City Pharmacy LLC's National Provider Identifier (NPI) is 1548786395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal City Pharmacy LLC?
- Crystal City Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Crystal City Pharmacy LLC located?
- Crystal City Pharmacy LLC's practice location on file with NPPES is 1313 Veterans Ave Ste I, Crystal City, TX 78839-1651.
- What is Crystal City Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Crystal City Pharmacy LLC is (830) 255-2201.
- Does Crystal City Pharmacy LLC accept Medicare?
- Crystal City Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crystal City Pharmacy LLC?
- The authorized official listed on Crystal City Pharmacy 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 Crystal City Pharmacy LLC's NPI active?
- Yes — Crystal City Pharmacy LLC's NPI (1548786395) is active in the NPPES registry as of the last update on 2025-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.