Active NPI
H-E-B, LP
- Community/Retail Pharmacy
- Manvel, TX
National Provider Identifier
1376224147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- H-E-B, LP
- Practice address
- 17119 Highway 6
Manvel, TX 77578 - Phone
- (281) 489-5621
- Fax
- (281) 816-6254
- NPI assigned
- Jul 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Bueche
- Title
- Managing Director of Pharmacy
- Phone
- (210) 938-3182
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
17119 Highway 6
Manvel, TX 77578
Mailing address
17119 Highway 6
Manvel, TX 77578
Phone (210) 938-8361
Other names 1
- HEB Pharmacy #760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081216000621 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224190871 | This NPI is an additional NPI on the enrollment |
| O20240219002444 | TX | DME Supplier - Pharmacy | 8224190871 | Practice locations: Manvel, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2291069 | Heb Pharmacy #760 | Certificate of waiver | Oct 3, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Heb Pharmacy #760 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Heb Pharmacy 00173
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Mansfield, TX
- NPI 1205697455
-
- Pharmacy
- Austin, TX
- NPI 1457083248
-
- Eyewear Supplier
- San Antonio, TX
- NPI 1114458361
-
- Community/Retail Pharmacy
- Manor, TX
- NPI 1134018583
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1164044392
-
- Pharmacy
- San Antonio, TX
- NPI 1194921056
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1215733183
-
- Community/Retail Pharmacy
- San Marcos, TX
- NPI 1225986060
-
- Community/Retail Pharmacy
- Cypress, TX
- NPI 1275380982
-
- Eyewear Supplier
- Spring, TX
- NPI 1295285443
-
- Community/Retail Pharmacy
- Georgetown, TX
- NPI 1306511423
-
- Community/Retail Pharmacy
- Rockwall, TX
- NPI 1316832900
Locations
17119 Highway 6
Manvel, TX 77578
Phone (281) 305-3949
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bryan, TX
- NPI 1992395065
-
- Pharmacy Technician
- Manvel, TX
- NPI 1174496848
-
- Pharmacy Technician
- Manvel, TX
- NPI 1366376527
-
- Pharmacy Technician
- Manvel, TX
- NPI 1447183173
-
- Pharmacy Technician
- Manvel, TX
- NPI 1033043492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698192000000",
"number": "1376224147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17119 HIGHWAY 6",
"city": "MANVEL",
"state": "TX",
"postal_code": "77578",
"telephone_number": "210-938-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17119 HIGHWAY 6",
"city": "MANVEL",
"state": "TX",
"postal_code": "77578",
"telephone_number": "281-489-5621",
"fax_number": "281-816-6254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H-E-B, LP",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-26",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A",
"authorized_official_last_name": "BUECHE",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "MANAGING DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "210-938-3182"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HEB Pharmacy #760",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HEB Pharmacy #760",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manvel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.