H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21092 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #189

Practice address

2130 Culebra Rd
San Antonio, TX 78228

Phone

(210) 737-1040

Fax

(210) 737-9133

NPI assigned

Aug 30, 2006

Last updated

Sep 25, 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 #189 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

Practitioners 10

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
• Angela J Banda, RPH

  • Pharmacist
  • San Antonio, TX
  • NPI 1376197285
  NPD (past)
• Adrian Campos

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1073102414
  NPD (past)
• Daniel De Leon, PHARMD

  • Pharmacist
  • San Antonio, TX
  • NPI 1902280720
  NPD (past)
• Jason Dire Garcia, PHARMD

  • Pharmacist
  • San Antonio, TX
  • NPI 1790026003
  NPD (past)
• Isaac Martinez Gonzalez, PHARM. D.

  • Pharmacist
  • San Antonio, TX
  • NPI 1831404235
  NPD (past)
• Elizabeth Jimenez

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1962179267
  NPD (past)
• Janie Vianey Perez

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1114516556
  NPD (past)
• Liliana Seiffert

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1588331854
  NPD (past)
• Marco Vidaurri Jr., PHARMD

  • Pharmacist
  • San Antonio, TX
  • NPI 1285158360
  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": "1600992000000",
    "number": "1659480085",
    "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": "2130 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78228",
            "telephone_number": "210-737-1040",
            "fax_number": "210-737-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4552990",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468969",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #189",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• H-E-B, LP (HEB Pharmacy #102)
• H-E-B, LP (HEB Pharmacy #262)
• H-E-B, LP (HEB Pharmacy #678)
• H-E-B, LP (HEB Pharmacy #397)
• H-E-B, LP (HEB Pharmacy #427)
• H-E-B, LP (HEB Fulfillment Center)
• H-E-B, LP (HEB Pharmacy #205)
• H-E-B, LP (HEB Pharmacy #384)
• H-E-B, LP (HEB Pharmacy #191)
• H-E-B, LP (HEB Pharmacy #647)

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, 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 25, 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.