Organization Active NPI

Midland Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Midland, TX
National Provider Identifier
1336780246
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MIDLAND CARE PHARMACY LLC
Practice address
1111 N Midkiff Rd Ste a
Midland, TX 79701-2120
Phone
(432) 279-0912
Fax
(432) 231-0911
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Sridhar Reddy EnukondaNPI 1821396573
Title
Pic
Phone
(432) 279-0912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1111 N Midkiff Rd Ste a
Midland, TX 79701-2120

Mailing address

1111 N Midkiff Rd Ste a
Midland, TX 79701-2158
Phone (432) 279-0912

Other names 1

  • Midkiff Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201209000539 TX Part B Supplier - Pharmacy 1254743677 Practice locations: Midland, TX

National Provider Directory

National Provider Directory

Locations

1111 N Midkiff Rd
Ste A
Midland, TX 79701
Phone (432) 279-0912

601 E 7th St
Odessa, TX 79761
Phone (432) 299-2995

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1336780246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N MIDKIFF RD STE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797012158",
            "telephone_number": "432-279-0912",
            "fax_number": "432-231-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N MIDKIFF RD STE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797012120",
            "telephone_number": "432-279-0912",
            "fax_number": "432-231-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "ENUKONDA",
        "authorized_official_first_name": "SRIDHAR REDDY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "432-279-0912"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midkiff Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midkiff Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.