Active NPI
H-E-B, LP
Doing business as HEB Pharmacy #736
- Community/Retail Pharmacy
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- H-E-B, LP
- Doing business as
- HEB Pharmacy #736
- Practice address
- 4950 FM 1463
Katy, TX 77494 - Phone
- (346) 387-7000
- Fax
- (346) 387-7283
- NPI assigned
- Nov 8, 2017
- Last updated
- Sep 24, 2020
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4950 FM 1463
Katy, TX 77494
Mailing address
646 S Flores St
San Antonio, TX 78204-1219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 471221 | Medicaid | TX |
Other names 1
- HEB Pharmacy #736
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 |
| O20181116001259 | TX | DME Supplier - Pharmacy | 8224190871 | Practice locations: Katy, 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 |
|---|---|---|---|
| 45D2142345 | Heb Pharmacy #736 | Certificate of waiver | Jan 8, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Heb Pharmacy #736 | 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
4950 FM 1463 Rd
Katy, TX 77494
Phone (346) 387-7000
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Pharmacy Technician
- San Antonio, TX
- NPI 1376857813
-
- Pharmacy Technician
- Katy, TX
- NPI 1437827250
-
- Pharmacy Technician
- Katy, TX
- NPI 1275122400
-
- Pharmacy Technician
- Katy, TX
- NPI 1710576962
-
- Pharmacy Technician
- Katy, TX
- NPI 1255009072
-
- Pharmacy Technician
- Katy, TX
- NPI 1578232393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600905600000",
"number": "1568975910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 S FLORES ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782041219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 FM 1463",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "346-387-7000",
"fax_number": "346-387-7283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H-E-B, LP",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-08",
"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": "471221",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEB Pharmacy #736",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Katy, 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.