H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21207 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #419

Practice address

2135 E Main St
Eagle Pass, TX 78852

Phone

(830) 773-0420

Fax

(830) 757-5752

NPI assigned

Aug 30, 2006

Last updated

Aug 7, 2023By 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 #419 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
• Diana Almaguer

  • Pharmacy Technician
  • Eagle Pass, TX
  • NPI 1063005031
  NPD (past)
• Marie Diane Bazaldua

  • Pharmacist
  • Eagle Pass, TX
  • NPI 1962744532
  NPD (past)
• Vanessa Carrillo, PHARMD

  • Pharmacist
  • Eagle Pass, TX
  • NPI 1396054698
  NPD (past)
• Marlen Castillo

  • Pharmacy Technician
  • Eagle Pass, TX
  • NPI 1194318329
  NPD (past)
• Alejandro Conde

  • Pharmacy Technician
  • Eagle Pass, TX
  • NPI 1093394033
  NPD (past)
• Elidia Gonzalez

  • Pharmacy Technician
  • Eagle Pass, TX
  • NPI 1225621451
  NPD (past)
• Jose Angel Jimenez Jr., PHARM.D

  • Pharmacist
  • Eagle Pass, TX
  • NPI 1639419732
  NPD (past)
• Christina Lozano

  • Pharmacist
  • Eagle Pass, TX
  • NPI 1144956160
  NPD (past)
• Amanda Maldonado

  • Pharmacy Technician
  • Eagle Pass, TX
  • NPI 1063005296
  NPD (past)
• Jorge Alberto Martinez Jr.

  • Pharmacy Technician
  • Eagle Pass, TX
  • NPI 1568051829
  NPD (past)
• Cynthia Picazo

  • Pharmacy Technician
  • Eagle Pass, TX
  • NPI 1336732320
  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": "1691366400000",
    "number": "1639288079",
    "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": "2135 E MAIN ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "78852",
            "telephone_number": "830-773-0420",
            "fax_number": "830-757-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "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": "21207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4585761",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469955",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #419",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Eagle Pass, TX
• Providers in Eagle Pass, 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 Aug 7, 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.

Verify at the official NPI Registry.