H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21143 Issued in TX

Legal business name

H-E-B, LP

Doing business as

Heb Pharmacy #401

Practice address

409 E Kleberg Ave
Kingsville, TX 78363

Phone

(361) 595-5641

Fax

(361) 595-1449

NPI assigned

Aug 30, 2006

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 #401 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 9

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
• Mary Lynn Chavez, PHARM.D.

  • Pharmacist
  • Kingsville, TX
  • NPI 1891036323
  NPD (past)
• Jenna Davis

  • Pharmacist
  • Belton, TX
  • NPI 1134796790
  NPD (past)
• Debra Lynn Henderson, RPH

  • Pharmacist
  • Kingsville, TX
  • NPI 1740521228
  NPD (past)
• Bryan Kerr

  • Pharmacist
  • Kingsville, TX
  • NPI 1568068443
  NPD (past)
• Margaret Ann Pena

  • Pharmacy Technician
  • Kingsville, TX
  • NPI 1427725381
  NPD (past)
• Eleuterio Lopez Saenz

  • Pharmacist
  • Kingsville, TX
  • NPI 1538487301
  NPD (past)
• Kristy Lynn Silguero

  • Pharmacy Technician
  • Kingsville, TX
  • NPI 1275122673
  NPD (past)
• Crystal Suzanne Yount, RPH

  • Pharmacist
  • Kingsville, TX
  • NPI 1831972165
  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": "1720197155",
    "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": "409 E KLEBERG AVE",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "78363",
            "telephone_number": "361-595-5641",
            "fax_number": "361-595-1449"
        }
    ],
    "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": 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": "21143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469123",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4558702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB PHARMACY #401",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEB PHARMACY #401",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn Eileen Gonzalez, MS, LAT, ATC
• Melva Ann Gonzalez, COTA
• Heather A Goodall, APRN
• Priscilla Ann Guevara
• Gulf Coast Imaging & Associates, LLC
• Kelly Haley, LPC ASSOCIATE
• Daniel Charles Hansen, IDC
• Happy Speech Services, PLLC
• Robert Harbolovic
• Harbor Hospice of Harlingen LP (Harbor Hospice of Kingsville)

• Community/Retail Pharmacy in Kingsville, TX
• Providers in Kingsville, 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.