NPIMap

H-E-B, LP

Organization Active NPI Community/Retail Pharmacy · Austin, TX

NPI 1689211575 · NPPES record last updated Aug 7, 2023

Key facts

NPI
1689211575
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
H-E-B, LP
Practice address
8801 S Congress Ave
Austin, TX 78745-7389
Phone
(512) 292-8662
Fax
(737) 236-8383
NPI assigned
Dec 10, 2019
Organization subpart
No

Authorized official

Name
David Liendo
Title
Government Programs Manager
Phone
(210) 938-3182

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2182582Heb Pharmacy #710
8801 South Congress Ave, Austin, TX 78745		Certificate of waiverApr 22, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Heb Pharmacy #710
8801 S Congress Ave, Austin, TX 78745-7389 · (512) 292-8662		 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignment
Participating since Dec 21, 2011

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20081216000621 TX Part B Supplier - Mass Immunization (Roster Biller Only) 8224190871 This NPI is an additional NPI on the enrollment
O20210208002803 TX DME Supplier - Pharmacy 8224190871 Practice locations: Austin, TX

National Provider Directory

Tax ID family
Heb Pharmacy 00173 (52 organizations share this tax ID)

Locations

8801 S Congress Ave
Austin, TX 78745
Phone (512) 292-8662

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

8801 S Congress Ave
Austin, TX 78745-7389

Mailing address

646 S Flores St
San Antonio, TX 78204-1219

Other identifiers

IdentifierTypeStateIssuer
471303MedicaidTX

Other names

  • HEB Pharmacy #710 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2023.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1689211575",
    "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": "8801 S CONGRESS AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787457389",
            "telephone_number": "512-292-8662",
            "fax_number": "737-236-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #710",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEB Pharmacy #710",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

All providers in Austin, TX · Community/Retail Pharmacy in Texas

Sources for this page

Verify at the official NPI Registry.