H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21209 Issued in TX

Legal business name

H-E-B, LP

Practice address

101 Calhoun PLZ
Port Lavaca, TX 77979

Phone

(361) 552-4563

Fax

(877) 372-8822

NPI assigned

Aug 30, 2006

Organization subpart

No

Name

David Liendo

Title

Government Programs Manager

Phone

(210) 938-3182

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

• Sylvia Barefield

  • Pharmacy Technician
  • Port Lavaca, TX
  • NPI 1457131633
  NPD (past)
• Kirsten Michelle Edwards, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Port Lavaca, TX
  • NPI 1497535140
  NPD (past)
• Jyoti Mann, B. PHARM

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Port Lavaca, TX
  • NPI 1902147465
  NPD (past)
• Palmira Grace Martinez, CPHT

  • Pharmacy Technician
  • Port Lavaca, TX
  • NPI 1407436694
  NPD (past)
• Jeffrey Spencer Stroup, PHARMD

  • Pharmacist
  • San Antonio, TX
  • NPI 1720668908
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Locations

• HEB Pharmacy #434 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2020.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1043329485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 SOUTH FLORES",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CALHOUN PLZ",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "77979",
            "telephone_number": "361-552-4563",
            "fax_number": "877-372-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "LIENDO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "GOVERNMENT PROGRAMS MANAGER",
        "authorized_official_telephone_number": "210-938-3182"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4573704",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #434",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Anyssa Guerra, RPH
• Gulf Bend MRMR Center Icf/Mr
• Gulf Coast Foot Clinic PA
• Gulf Coast Foot Clinic PA
• Adrianne Gutierrez
• Jaclyn Hartl, M.ED, LPC - S
• Diana Hoover, LPC
• Clare Horadam, PTA
• Mabel Allene Hunt, RPH
• Destiny Ibrom, FNP

• All providers in Port Lavaca, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.