H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

22549 Issued in TX

Legal business name

H-E-B, LP

Practice address

2511 Trimmier Road Ste 100
Killeen, TX 76542

Phone

(254) 634-2370

Fax

(254) 634-7185

NPI assigned

Aug 30, 2006

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 3

Addresses

Other identifiers 2

Other names 1

• HEB Pharmacy #581 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 11

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

• Savan Bhakta, PHARM.D.

  • Pharmacist
  • Killeen, TX
  • NPI 1902346828
  NPD (past)
• Brian Edward Byars

  • Pharmacy Technician
  • Killeen, TX
  • NPI 1780273045
  NPD (past)
• Matthew Ryan Fulton, PHARMD

  • Pharmacist
  • Killeen, TX
  • NPI 1194167551
  NPD (past)
• Joe Garcia

  • Pharmacy Technician
  • Killeen, TX
  • NPI 1407737893
  NPD (past)
• Sheryl Marwitz Goodnight, PHARM D

  • Pharmacist
  • Killeen, TX
  • NPI 1821102104
  NPD (past)
• Ashley Jacqueline Guerra

  • Pharmacy Technician
  • Killeen, TX
  • NPI 1356060297
  NPD (past)
• Gunnar Frederick Lindfors III, PHARM. D.

  • Pharmacist
  • Killeen, TX
  • NPI 1669839544
  NPD (past)
• Cameron Piccirilli

  • Pharmacist
  • Killeen, TX
  • NPI 1982273801
  NPD (past)
• Miranda Yvonne Royalty, PHARMD

  • Pharmacist
  • Killeen, TX
  • NPI 1629666276
  NPD (past)
• Zairy Josel Sanchez Lozano

  • Pharmacist
  • Killeen, TX
  • NPI 1225878119
  NPD (past)
• Melissa Raines Sanders, PHARM. D.

  • Pharmacist
  • Killeen, TX
  • NPI 1033120217
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1245349679",
    "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": "2511 TRIMMIER ROAD STE 100",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76542",
            "telephone_number": "254-634-2370",
            "fax_number": "254-634-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "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": "22549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469096",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4528608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #581",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Subena Gustave, LCSW
• Catarina Gutierrez
• Kiara Guy
• Brooklynn Guynes
• Jannette Guzman
• H-E-B, LP
• H. Sprague Taveau IV DO PA
• The Ke Ha, PHARMD
• Kristen Hackney, BCABA
• Nina Haddad

• Community/Retail Pharmacy in Killeen, TX
• Providers in Killeen, 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 24, 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.