H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21167 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #467

Practice address

701 E Milam St
Mexia, TX 76667

Phone

(254) 562-5123

Fax

(254) 562-9519

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 #467 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 16

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
• Lidia Acevedo

  • Pharmacy Technician
  • Mexia, TX
  • NPI 1518547025
  NPD (past)
• Sadiat Agboola, PHARM.D.

  • Pharmacist
  • Bellmead, TX
  • NPI 1780426049
  NPD (past)
• Jessica Brasher, RDN, LDN

  • Registered Dietitian
  • San Antonio, TX
  • NPI 1225630908
  NPD (past)
• Gregory Earl Castator, R.PH.

  • Pharmacist
  • Mexia, TX
  • NPI 1477895365
  NPD (past)
• James Omer Dixon, PHARMD

  • Pharmacist
  • Abilene, TX
  • NPI 1619522273
  NPD (past)
• Amy Allen Hoffman, PHARMD

  • Pharmacist
  • Mexia, TX
  • NPI 1598082752
  NPD (past)
• Kenneth W Jordan, R.PH.

  • Pharmacist
  • Mexia, TX
  • NPI 1932440385
  NPD (past)
• Jae Hyeong Kim

  • Student in an Organized Health Care Education/Training Program
  • Mexia, TX
  • NPI 1346081585
  NPD (past)
• Yolonda Yvette Lewis

  • Pharmacy Technician
  • Mexia, TX
  • NPI 1063093540
  NPD (past)
• Rachel Pareya Long, PHARMD

  • Pharmacist
  • Mexia, TX
  • NPI 1467805705
  NPD (past)
• Mark McWherter, RPH

  • Pharmacist
  • Mexia, TX
  • NPI 1336672674
  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": "1497864813",
    "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": "701 E MILAM ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "76667",
            "telephone_number": "254-562-5123",
            "fax_number": "254-562-9519"
        }
    ],
    "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": 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": "21167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4510497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #467",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Donna Groves, OTR
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• Lindsay Margaret Hayes, MED, LPC-A
• Health and Human Services Commission
• Health and Human Services Commission
• Melissa Warrem Heaton, LPC

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