Organization Active NPI

Lifecare Pharmacy 23 Inc

  • Pharmacy
  • Austin, TX
National Provider Identifier
1689035545
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
30398 Issued in TX
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

Updated by the provider on Nov 19, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149304MedicaidTX
2158289OtherPK

Other names 2

  • Lifecare Garza Pharmacy Doing business as
  • Specialty RX Central TX Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

NPI 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.

Verify at the official NPI Registry.