Active NPI
H-E-B, LP
- Community/Retail Pharmacy
- Austin, TX
National Provider Identifier
1609587245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- H-E-B, LP
- Practice address
- 12021 W US 290, BLDG 1
Austin, TX 78737 - Phone
- (512) 288-5443
- Fax
- (737) 610-5883
- NPI assigned
- Dec 5, 2022
- Organization subpart
- No
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 |
|---|---|---|---|
| 45D2290924 | Heb Pharmacy # 780 | Certificate of waiver | Oct 2, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Heb Pharmacy #780 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
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 |
| O20231020002166 | TX | DME Supplier - Pharmacy | 8224190871 | Practice locations: Austin, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Heb Pharmacy 00173
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Pharmacy
- Austin, TX
- NPI 1457083248
-
- Community/Retail Pharmacy
- Manvel, TX
- NPI 1376224147
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1376481119
-
- Community/Retail Pharmacy
- Austin, TX
- NPI 1396382552
-
- Eyewear Supplier
- San Antonio, TX
- NPI 1437602489
-
- Clinic Pharmacy
- Cibolo, TX
- NPI 1467177105
-
- Pharmacy
- Denton, TX
- NPI 1467387605
-
- Community/Retail Pharmacy
- Melissa, TX
- NPI 1508674482
-
- Community/Retail Pharmacy
- Plano, TX
- NPI 1518696699
-
- Community/Retail Pharmacy
- Round Rock, TX
- NPI 1538400296
-
- Community/Retail Pharmacy
- McKinney, TX
- NPI 1548965254
-
- Community/Retail Pharmacy
- Allen, TX
- NPI 1568143337
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Bueche
- Title
- Managing Director of Pharmacy
- 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
12021 W US 290, BLDG 1
Austin, TX 78737
Mailing address
646 S Flores St
San Antonio, TX 78204-1219
Other names 1
- HEB Pharmacy #780
NPI Registry JSON
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698192000000",
"number": "1609587245",
"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": "12021 W US 290, BLDG 1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78737",
"telephone_number": "512-288-5443",
"fax_number": "737-610-5883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H-E-B, LP",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-05",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A",
"authorized_official_last_name": "BUECHE",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "MANAGING DIRECTOR OF PHARMACY",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HEB Pharmacy #780",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HEB Pharmacy #780",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.