H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

H-E-B, LP

Practice address

3502 Palmer Hwy
Texas City, TX 77590

Phone

(409) 943-4249

Fax

(409) 949-5783

NPI assigned

May 14, 2015

Organization subpart

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• HEB Pharmacy #662 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 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elijah Aidan Ancira

  • Pharmacy Technician
  • Texas City, TX
  • NPI 1144153032
  NPD (past)
• Aubrey Egbert Butchee IV

  • Pharmacist
  • Texas City, TX
  • NPI 1295669943
  NPD (past)
• Katherine Cruz

  • Pharmacy Technician
  • Texas City, TX
  • NPI 1780517664
  NPD (past)
• Charisma Yovonne Franklin

  • Pharmacy Technician
  • Texas City, TX
  • NPI 1891537122
  NPD (past)
• Tuyet Huynh

  • Pharmacist
  • Texas City, TX
  • NPI 1932645538
  NPD (past)
• Patrice Jonathan

  • Pharmacotherapy Pharmacist
  • Texas City, TX
  • NPI 1629433446
  NPD (past)
• Kyndyl A. Kelley

  • Pharmacy Technician
  • Texas City, TX
  • NPI 1942890777
  NPD (past)
• Amiana Rose Love

  • Pharmacy Technician
  • Texas City, TX
  • NPI 1801605597
  NPD (past)
• Ginger Michelle Shelton

  • Pharmacy Technician
  • Texas City, TX
  • NPI 1205426012
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1700264306",
    "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",
            "telephone_number": "210-938-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77590",
            "telephone_number": "409-943-4249",
            "fax_number": "409-949-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5915713",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469078",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBP",
            "identifier": "29961",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #662",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEB Pharmacy #662",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gulf Coast Oral & Maxillofacial Surgery
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• Gulf Periodontics & Implants
• Audrey Lynn Gutierrez, RN
• Ashley Guzal
• John Kendall Hackbarth, DDS
• Sheri Hain, BS, MPAS, PA-C
• Stephen Craig Hale, DDS
• Kelli Elizabeth Halford, LCDC
• Hamilton County Hospital District

• Community/Retail Pharmacy in Texas City, TX
• Providers in Texas City, 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.