Fiesta Lifecare Pharmacy 5 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31267 Issued in TX

Legal business name

FIESTA LIFECARE PHARMACY 5 LLC

Practice address

7900 Fannin St Ste 1480
Houston, TX 77054-2946

Phone

(915) 306-3222

Fax

(915) 306-5222

NPI assigned

Oct 24, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sirisha KandiNPI 1447586185

Title

Pharmacist Owner

Phone

(972) 357-4477

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Fiesta Lifecare Pharmacy 5 LLC Doing business as
• Fiesta MLK Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sirisha Kandi, PHARMACIST

  • Pharmacist
  • Dallas, TX
  • NPI 1447586185
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785024000000",
    "number": "1104377332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 CONDOR DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195985",
            "telephone_number": "972-357-4477",
            "fax_number": "214-426-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST STE 1480",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542946",
            "telephone_number": "915-306-3222",
            "fax_number": "915-306-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA LIFECARE PHARMACY 5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "KANDI",
        "authorized_official_first_name": "SIRISHA",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "972-357-4477"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164652",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fiesta Lifecare Pharmacy 5 LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fiesta Lifecare Pharmacy 5 LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fiesta MLK Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spencer Jackson Fields
• Jeffrey C Fiero, D.C.
• Elisha Fierro
• Troy Treanor Fiesinger, M.D.
• Fiesta Dentistry, P.a.
• Lorelle Fiester, LCSW
• Fietus LLC
• Brandy Lynn Fifield, NP-C
• Fifth Blessing
• Linda Figaredo, APRN

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.