H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #694

Practice address

2965 Ih 35 North
New Braunfels, TX 78130

Phone

(830) 620-5100

Fax

(830) 312-5783

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

David Liendo

Title

Government Programs Manager

Phone

(210) 938-3182

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HEB Pharmacy #694 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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

Practitioners 3

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

• Faith Canales

  • Pharmacy Technician
  • New Braunfels, TX
  • NPI 1679498208
  NPD (past)
• Robert Joseph Leal III, CPHT

  • Pharmacy Technician
  • New Braunfels, TX
  • NPI 1477416766
  NPD (past)
• Sarah Elizabeth Rodriguez

  • Pharmacy Technician
  • New Braunfels, TX
  • NPI 1083578330
  NPD (past)

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1154788859",
    "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": "2965 IH 35 NORTH",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-620-5100",
            "fax_number": "830-312-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470453",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5918935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #694",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEB Pharmacy #694",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dessinie Weaver Gutierrez, BCBA
• Jose Richard Gutierrez, RRT
• Juan Gutierrez III, COTA
• Sara Maria Gutierrez
• Elaine Marie Gwosdz-Gilman, M.D.
• H-E-B, LP (HEB Pharmacy #074)
• H-E-B, LP (HEB Pharmacy #775)
• Kimberly Ha, FNP
• Aaron Cyrus Haag, DDS
• Susan Leigh Haas, OT

• Community/Retail Pharmacy in New Braunfels, TX
• Providers in New Braunfels, 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 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.