H-E-B, LP
Organization Active NPI Community/Retail Pharmacy · Alamo, TX
NPI 1235248642 · NPPES record last updated Sep 24, 2020
Key facts
- NPI
- 1235248642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 21149 (TX)
- Legal business name
- H-E-B, LP
- Practice address
- 1211 E Frontage Rd
Alamo, TX 78516 - Phone
- (956) 702-7550
- Fax
- (956) 702-0612
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- David Liendo
- Title
- Government Programs Manager
- Phone
- (210) 938-3182
Practitioners 9
-
Claudia Janette Bernal Alvarado, PHARMD
-
Frederick Rae Dominguez, CPHT
-
David G Garcia, PHARMD
-
Maria De la Luz Lujan, CPHT
-
Alyssa Luna, PHARMD
-
Ivan Rodriguez, CPHT
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Heb Pharmacy #421 |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081216000621 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224190871 | This NPI is an additional NPI on the enrollment |
| O20100930086629 | TX | DME Supplier - Pharmacy |
8224190871 | Practice locations: Alamo, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 21149 | TX | Yes |
Addresses
Primary practice location
1211 E Frontage Rd
Alamo, TX 78516
Mailing address
646 South Flores
San Antonio, TX 78204
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 469081 | Medicaid | TX | |
| 4501765 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- HEB Pharmacy #421
Other providers in Alamo, TX
- Miguel Garza
- Nancy Brendalee Garza
- Raudel Guerra
- Marco Gutierrez
- Martha Alicia Gutierrez
- Hamarsyl Pharmacy LLC
- Head to Toes Rehab, Inc
- Donald Michel Hortness
- JDS Communications and Billing Serv
- Deunta Jenkins
All providers in Alamo, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.