H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21067 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #672

Practice address

1821 S Valley Mills Dr
Waco, TX 76711

Phone

(254) 754-3344

Fax

(254) 754-7119

NPI assigned

Aug 30, 2006

Last updated

Sep 23, 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 #672 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 18

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
• Brandy Deann Brown

  • Pharmacy Technician
  • Waco, TX
  • NPI 1902495211
  NPD
• Amanda Nicole Cooper

  • Pharmacy Technician
  • Waco, TX
  • NPI 1184394728
  NPD
• Maria Concepcion Frias

  • Pharmacy Technician
  • Waco, TX
  • NPI 1942899885
  NPD
• Leslie Vivian Gamez

  • Pharmacy Technician
  • Waco, TX
  • NPI 1871173252
  NPD
• Jeannetta Gonzales

  • Pharmacy Technician
  • Waco, TX
  • NPI 1245942630
  NPD
• Alexandra Guillen, PHARMD

  • Pharmacist
  • Waco, TX
  • NPI 1679202998
  NPD
• John Cameron Losak, CPHT

  • Pharmacy Technician
  • Waco, TX
  • NPI 1427647866
  NPD
• Carolann Obe

  • Pharmacy Technician
  • Waco, TX
  • NPI 1487324190
  NPD
• Brittany Olvera

  • Student in an Organized Health Care Education/Training Program
  • Waco, TX
  • NPI 1861081929
  NPD
• Emmanuel Reynoso

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Waco, TX
  • NPI 1629645700
  NPD
• Micheala Robin-Alloway

  • Pharmacy Technician
  • Waco, TX
  • NPI 1568173540
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1376652719",
    "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": "1821 S VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76711",
            "telephone_number": "254-754-3344",
            "fax_number": "254-754-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "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": "21067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4582791",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #672",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Gutierrez
• Lisandro Ariel Gutierrz
• Charles Walker Guy II, DO
• H Bruce Hamilton, MD PA
• H-E-B, LP (HEB Pharmacy #557)
• H-E-B, LP (HEB Pharmacy #423)
• H-E-B, LP (HEB Pharmacy #064)
• Henry D Hacker, M.D.
• Jonathan Harley Hackett
• Madeline Lee Haddad, M.S., CCC-SLP

• Community/Retail Pharmacy in Waco, TX
• Providers in Waco, 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 23, 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.