H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21094 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #195

Practice address

11551 West Ave
San Antonio, TX 78213

Phone

(210) 340-7786

Fax

(210) 308-0138

NPI assigned

Aug 30, 2006

Last updated

Sep 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David LiendoNPI 1376857813

Title

Government Programs Manager

Phone

(210) 938-3182

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HEB Pharmacy #195 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.

Medicare medical equipment & supply locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Liendo

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1376857813
  Authorized official Same address or phone
• Sarah Ann Alva

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1932794716
  NPD (past)
• Jesus Daniel Beltran

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1861073439
  NPD (past)
• Hubert Horace Bullock Jr., R.PH.

  • Pharmacist
  • San Antonio, TX
  • NPI 1043525405
  NPD (past)
• Destiny Closner

  • Pharmacist
  • San Antonio, TX
  • NPI 1295543320
  NPD (past)
• Ryan Joseph Escobedo

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1295463115
  NPD (past)
• Diana Ferral

  • Pharmacist
  • San Antonio, TX
  • NPI 1871172403
  NPD (past)
• Diana Laura Gonzalez, R,PH

  • Pharmacist
  • San Antonio, TX
  • NPI 1437490281
  NPD (past)
• Myranda Lynne Jaso

  • Pharmacist
  • San Juan, TX
  • NPI 1295311884
  NPD (past)
• Malik Faizullah Khan

  • Pharmacist
  • San Antonio, TX
  • NPI 1306482930
  NPD (past)
• Yliana Noemi Narvaez

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1942160940
  NPD (past)
• Roxana Rae Palacios

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1356920813
  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": "1285743617",
    "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": "11551 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78213",
            "telephone_number": "210-340-7786",
            "fax_number": "210-308-0138"
        }
    ],
    "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": "21094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4557128",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470827",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #195",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• H-E-B, LP (HEB Pharmacy #799)
• H-E-B, LP (HEB Pharmacy #085)
• H-E-B, LP (HEB Pharmacy #178)
• H-E-B, LP (HEB Pharmacy #108)
• H-E-B, LP (HEB Pharmacy #494)
• H-E-B, LP (HEB Pharmacy #224)
• H-E-B, LP (HEB Pharmacy #699)
• H-E-B, LP (HEB Pharmacy #568)
• H-E-B, LP (HEB Pharmacy #751)
• H-E-B, LP (Heb Pharmacy #567)

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, 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.