H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

H-E-B, LP

Practice address

23635 Wilderness Oak
San Antonio, TX 78258

Phone

(210) 490-2677

Fax

(210) 482-3383

NPI assigned

Mar 26, 2014

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 2

Addresses

Other identifiers 3

Other names 1

• HEB Pharmacy #658 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.

• Arianna Alicia Alfaro

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1710577739
  NPD (past)
• Kaitlin Draper Alvarado

  • Pharmacist
  • San Antonio, TX
  • NPI 1841074259
  NPD (past)
• Adam Cantu

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1366031619
  NPD (past)
• Lauryn Chavez

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1962388660
  NPD (past)
• Alexandria Collins

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1104415330
  NPD (past)
• Jeremy Nicholas Cuellar, CPT

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1831899582
  NPD (past)
• Jeanette Garza

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1417532425
  NPD (past)
• Meranda Harker

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1841018900
  NPD (past)
• Tyler Mitchell Mason

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1417890864
  NPD (past)
• Justin McGinty

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1457940892
  NPD (past)
• Bobbi Miller

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1629667043
  NPD (past)
• Mariam Osman

  • Pharmacist
  • San Antonio, TX
  • NPI 1487380903
  NPD (past)

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1437576550",
    "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": "23635 WILDERNESS OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-490-2677",
            "fax_number": "210-482-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "29052",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5911323",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #658",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEB Pharmacy #658",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP

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