Active NPI
H-E-B, LP
- Community/Retail Pharmacy
- Elsa, TX
National Provider Identifier
1497197693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- H-E-B, LP
- Practice address
- 512 East Edinburg Ave
Elsa, TX 78543 - Phone
- (956) 262-9719
- Fax
- (956) 262-9702
- NPI assigned
- Jul 29, 2013
- 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
- David Liendo
- Title
- Government Programs Manager
- 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
512 East Edinburg Ave
Elsa, TX 78543
Mailing address
646 South Flores
San Antonio, TX 78204
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5909227 | Other | TX | NCPDP |
| 469076 | Medicaid | TX | |
| 28631 | Other | TX | TSBP |
Other names 1
- HEB Pharmacy #677
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 |
| O20140220000533 | TX | DME Supplier - Pharmacy | 8224190871 | Practice locations: Elsa, 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 |
|---|---|---|---|
| 45D2067031 | Heb Pharmacy # 677 | Certificate of waiver | Oct 7, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Heb Pharmacy #677 | 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 DirectoryLocations
512 E Edinburg Ave
Elsa, TX 78543
Phone (956) 262-9719
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Elsa, TX
- NPI 1730629726
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Elsa, TX
- NPI 1871481374
-
- Pharmacy Technician
- Elsa, TX
- NPI 1417537812
-
- Pharmacy Technician
- Elsa, TX
- NPI 1760062764
-
- Pharmacy Technician
- Elsa, TX
- NPI 1912877002
-
- Pharmacist
- Elsa, TX
- NPI 1487383196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1497197693",
"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": "512 EAST EDINBURG AVE",
"city": "ELSA",
"state": "TX",
"postal_code": "78543",
"telephone_number": "956-262-9719",
"fax_number": "956-262-9702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H-E-B, LP",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-29",
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5909227",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "469076",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TSBP",
"identifier": "28631",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEB Pharmacy #677",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "HEB Pharmacy #677",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elsa, TX
Sources for this page
- 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.