H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21151 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #424

Practice address

609 19TH St
Hondo, TX 78861

Phone

(830) 426-5312

Fax

(830) 426-5342

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 #424 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 7

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
• Billy Pat Butler, RPH

  • Pharmacist
  • Hondo, TX
  • NPI 1558602367
  NPD (past)
• Esperanza G De Leon

  • Pharmacy Technician
  • Hondo, TX
  • NPI 1972463024
  NPD (past)
• Jennifer R De Leon

  • Pharmacy Technician
  • Hondo, TX
  • NPI 1649851387
  NPD (past)
• Marisol Adame Franklin

  • Pharmacy Technician
  • Hondo, TX
  • NPI 1689255465
  NPD (past)
• Lisa Marie Morales

  • Pharmacy Technician
  • Hondo, TX
  • NPI 1104408665
  NPD (past)
• Matthew Smith

  • Pharmacist
  • Hondo, TX
  • NPI 1780302174
  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": "1417066820",
    "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": "609 19TH ST",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "78861",
            "telephone_number": "830-426-5312",
            "fax_number": "830-426-5342"
        }
    ],
    "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": "21151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4501690",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469628",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #424",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisol Adame Franklin
• G. Betancourt DDS PLLC (Countryside Dental)
• Liborio Garcia Jr., D.C.
• Heather Gonzales, LPC
• Thomas W. Grabow, M.D.
• David Paul Haertner, L.P.C.
• Laura Worth Hansen, D.O.
• Michael Wayne Hanson, LVN
• Leslie Laro Hayes, M.A., M.ED., LMFT
• Robert Frank Hays Jr., MD

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