H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21120 Issued in TX

Legal business name

H-E-B, LP

Practice address

641 E Hopkins St
San Marcos, TX 78666

Phone

(512) 396-2892

Fax

(512) 392-7896

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 #243 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

Locations

Practitioners 14

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

• Tracy Bandy

  • Pharmacist
  • San Marcos, TX
  • NPI 1003157991
  NPD (past)
• Emma Nicole Cortez

  • Pharmacy Technician
  • San Marcos, TX
  • NPI 1144196304
  NPD (past)
• Leandra Denise Deleon

  • Pharmacy Technician
  • San Marcos, TX
  • NPI 1225619042
  NPD (past)
• Maci Diaz, PHARMD

  • Pharmacist
  • San Marcos, TX
  • NPI 1104711423
  NPD (past)
• Javier C Fuentes

  • Pharmacist
  • San Marcos, TX
  • NPI 1295052686
  NPD (past)
• Amanda Araceli Garcia

  • Pharmacy Technician
  • San Marcos, TX
  • NPI 1679153241
  NPD (past)
• Mary Lou Jones

  • Pharmacy Technician
  • San Marcos, TX
  • NPI 1992385439
  NPD (past)
• Savannah Nicole Keller

  • Pharmacy Technician
  • San Marcos, TX
  • NPI 1952270126
  NPD (past)
• Kaycie Brooke Kerby

  • Pharmacy Technician
  • San Marcos, TX
  • NPI 1720954076
  NPD (past)
• Adriana Elena Miranda, CPHT

  • Pharmacy Technician
  • San Marcos, TX
  • NPI 1093304263
  NPD (past)
• Nicole Monique Ojeda

  • Pharmacy Technician
  • San Marcos, TX
  • NPI 1740879121
  NPD (past)
• Susan Diane Presley, PHARMD

  • Pharmacist
  • San Marcos, TX
  • NPI 1205141942
  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": "1326157397",
    "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": "641 E HOPKINS ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "78666",
            "telephone_number": "512-396-2892",
            "fax_number": "512-392-7896"
        }
    ],
    "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": "21120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469425",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4553079",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #243",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Gutierrez, MS, LPC-A, NCC
• Eduardo Gutierrez, PA
• Michelle Gutierrez
• H Medical Supplies LLC
• H-E-B, LP
• H-E-B, LP
• Austin Michael Hagan
• Kyle Hagan
• Simone Halkum
• Deborah Young Hall, RNC,WHCNP

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