La Popular Pharmacy 2 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LA POPULAR PHARMACY 2 LLC

Doing business as

Lifecare Pharmacy

Practice address

102 N. Pine St
Hebbronville, TX 78361

Phone

(361) 527-3231

Fax

(361) 527-5574

NPI assigned

Apr 3, 2013

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anil Gottimukkala

Title

Owner

Phone

(973) 885-0060

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lifecare Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prem S. Kalidindi

  • Pharmacist
  • Irving, TX
  • NPI 1699102699
  NPD (past)

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1184967689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N. PINE ST",
            "city": "HEBBRONVILLE",
            "state": "TX",
            "postal_code": "78361",
            "telephone_number": "361-527-3231",
            "fax_number": "361-527-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N. PINE ST",
            "city": "HEBBRONVILLE",
            "state": "TX",
            "postal_code": "78361",
            "telephone_number": "361-527-3231",
            "fax_number": "361-527-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA POPULAR PHARMACY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2025-09-02",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "GOTTIMUKKALA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-885-0060"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "28488",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146761",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifecare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Hebbronville, TX
• Providers in Hebbronville, 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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.