H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21090 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #186

Practice address

2310 E Saunders St
Laredo, TX 78041

Phone

(956) 724-1141

Fax

(956) 728-7453

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 #186 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, and the practitioner matching its NPPES authorized official.

• David Liendo

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1376857813
  Authorized official Same address or phone
• Gerardo Antonio Carrillo Jr.

  • Pharmacy Technician
  • Laredo, TX
  • NPI 1710576889
  NPD (past)
• Jose Eduardo Garza Jr., PHARMD

  • Pharmacist
  • Laredo, TX
  • NPI 1083192017
  NPD (past)
• Dario Gutierrez Jr., R.PH.

  • Pharmacist
  • Laredo, TX
  • NPI 1386962835
  NPD (past)
• Connie Martinez, RPH

  • Pharmacist
  • San Antonio, TX
  • NPI 1437499373
  NPD (past)
• Michael A Martinez Sr.

  • Pharmacy Technician
  • Laredo, TX
  • NPI 1437748738
  NPD (past)
• John Ikechukwu Nduka, RPH

  • Pharmacist
  • Laredo, TX
  • NPI 1992011936
  NPD (past)
• Lizzette A Rangel

  • Pharmacy Technician
  • Laredo, TX
  • NPI 1356930655
  NPD (past)
• Laura Rubio York

  • Pharmacy Technician
  • Laredo, TX
  • NPI 1205425659
  NPD (past)
• Loretta C Tobias

  • Pharmacy Technician
  • Laredo, TX
  • NPI 1598354748
  NPD (past)
• Beatriz Adriana Vasquez

  • Pharmacy Technician
  • Laredo, TX
  • NPI 1508455890
  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": "1326157306",
    "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": "2310 E SAUNDERS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-724-1141",
            "fax_number": "956-728-7453"
        }
    ],
    "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": "21090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4558699",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469049",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #186",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ilyssa Kristine Guzman, COTA
• Kaylee Karina Guzman
• Lizbeth NA Guzman
• H-E-B, LP (HEB Pharmacy #570)
• H-E-B, LP (HEB Pharmacy #255)
• H-E-B, LP (HEB Pharmacy #449)
• H-E-B, LP (HEB Pharmacy #095)
• H-E-B, LP (HEB Pharmacy #207)
• H-E-B, LP (HEB Pharmacy #586)
• Haber Dasher Feeds 2, PLLC

• Community/Retail Pharmacy in Laredo, TX
• Providers in Laredo, 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.