Active NPI
Lifecare Pharmacy 23 Inc
- Pharmacy
- Austin, TX
National Provider Identifier
1689035545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 30398
- Legal business name
- LIFECARE PHARMACY 23 INC
- Practice address
- 4500 S Pleasant Valley Rd # 100
Austin, TX 78744-2911 - Phone
- (512) 648-2700
- Fax
- (908) 634-4038
- NPI assigned
- Mar 18, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel Zupnick
- Title
- Owner
- Phone
- (908) 241-6337
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 30398 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
4500 S Pleasant Valley Rd # 100
Austin, TX 78744-2911
Mailing address
4500 S Pleasant Valley Rd # 100
Austin, TX 78744-2911
Phone (512) 648-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149304 | Medicaid | TX | |
| 2158289 | Other | PK |
Other names 2
- Lifecare Garza Pharmacy
- Specialty RX Central TX
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201203001163 | TX | Part B Supplier - Pharmacy | 9638580210 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Austin, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1689035545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S PLEASANT VALLEY RD # 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787442911",
"telephone_number": "512-648-2700",
"fax_number": "908-634-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S PLEASANT VALLEY RD # 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787442911",
"telephone_number": "512-648-2700",
"fax_number": "908-634-4038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE PHARMACY 23 INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-18",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "ZUPNICK",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-241-6337"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "30398",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149304",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2158289",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifecare Garza Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Specialty RX Central TX",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.