H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

22235 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #571

Practice address

200 E Griffin Pkwy
Mission, TX 78572

Phone

(956) 424-7920

Fax

(956) 424-7945

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 #571 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 10

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
• Navid Alcala

  • Pharmacy Technician
  • Mission, TX
  • NPI 1629949490
  NPD (past)
• Claudia Mireya Castillo

  • Pharmacy Technician
  • Mission, TX
  • NPI 1881283901
  NPD (past)
• Veronica Garcia

  • Pharmacy Technician
  • Mission, TX
  • NPI 1962091363
  NPD (past)
• Carlos Miguel Gonzalez III

  • Pharmacist
  • Mission, TX
  • NPI 1649865023
  NPD (past)
• Maria Alma Munoz, R. PH.

  • Pharmacist
  • Mission, TX
  • NPI 1699016238
  NPD (past)
• Juan Antonio Perez, PHARMD

  • Pharmacist
  • Mission, TX
  • NPI 1396053781
  NPD (past)
• Abby Rodriguez

  • Pharmacy Technician
  • Mission, TX
  • NPI 1306435680
  NPD (past)
• Daniel Arnoldo Vallejo

  • Pharmacy Technician
  • Mission, TX
  • NPI 1518637461
  NPD (past)
• Daniel W Amoh, M.D., RPH

  • Pharmacist
  • Columbus, OH
  • NPI 1619903523
  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": "1356450324",
    "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": "200 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-424-7920",
            "fax_number": "956-424-7945"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470491",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4525121",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #571",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sergio Ivan Guzman, DDS
• Yesenia Ruby Guzman, NP
• H & H Quality Construction LLC
• H V Primary Home Care, Inc.
• H-E-B, LP (HEB Pharmacy #094)
• H-E-B, LP (HEB Pharmacy #226)
• Lee W Haak, MD
• Hacienda Family Clinic L.T.D
• Hacienda Las Fuentes,LLC (Hacienda Las Fuentes Adult Day Care)
• Ladonna Joan Haley, RN MS MN APN CNS PMH

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