H-E-B, LP

Organization Active NPI Community/Retail Pharmacy · Palmview, TX

NPI 1225147648 · NPPES record last updated Sep 24, 2020

Key facts

NPI
1225147648
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
21159 (TX)
Legal business name
H-E-B, LP
Practice address
2206 W Palma Vista Dr
Palmview, TX 78572
Phone
(956) 585-3959
Fax
(956) 585-7482
NPI assigned
Aug 30, 2006
Organization subpart
No

Authorized official

Name
David Liendo
Title
Government Programs Manager
Phone
(210) 938-3182

Practitioners 7

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Heb Pharmacy #448
2206 W Palma Vista Dr, Mission, TX 78572-1857 · (956) 585-3959
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignment
Participating since Dec 21, 2011

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081216000621 TX Part B Supplier - Mass Immunization (Roster Biller Only) 8224190871 This NPI is an additional NPI on the enrollment
O20100930017892 TX DME Supplier - Pharmacy 8224190871 Practice locations: Mission, TX

National Provider Directory

Locations

2206 W Palma Vis Dr
Palmview, TX 78572
Phone (956) 585-3959

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 21159 TX Yes

Addresses

Primary practice location

2206 W Palma Vista Dr
Palmview, TX 78572

Mailing address

646 South Flores
San Antonio, TX 78204

Other identifiers

IdentifierTypeStateIssuer
4507907OtherNCPDP PROVIDER IDENTIFICATION NUMBER
470490MedicaidTX

Other names

  • HEB PHARMACY #448 Doing business as

Other providers in Palmview, TX

All providers in Palmview, TX · Community/Retail Pharmacy in Texas

Sources for this page

Verify at the official NPI Registry.