H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21195 Issued in TX

Legal business name

H-E-B, LP

Practice address

721 Castroville Rd
San Antonio, TX 78237

Phone

(210) 436-6465

Fax

(210) 432-6358

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 Liendo

Title

Government Programs Manager

Phone

(210) 938-3182

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• HEB Pharmacy #205 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 16

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

• Darby Bickel

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1245968312
  NPD (past)
• Nathalie Borroel

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1437878758
  NPD (past)
• Bryan Osmar Casanova Cervantes, CPHT

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1801476106
  NPD (past)
• Hector F Collazo Jr., PHARM D

  • Pharmacist
  • San Antonio, TX
  • NPI 1225675127
  NPD (past)
• Johnathan Cuevas, PHARM D

  • Pharmacist
  • San Antonio, TX
  • NPI 1215278494
  NPD (past)
• Celia De la Rosa

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1326766445
  NPD (past)
• Julia Lynn Harvey

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1841919131
  NPD (past)
• Krystle P Hernandez

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1952029001
  NPD (past)
• Iliana Olga Huizar

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1396325692
  NPD (past)
• Sonia Sanchez Leach

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1124746250
  NPD (past)
• Connie Martinez, RPH

  • Pharmacist
  • San Antonio, TX
  • NPI 1437499373
  NPD (past)
• Christopher Mowen

  • Pharmacist
  • San Antonio, TX
  • NPI 1679965073
  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": "1740399187",
    "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": "721 CASTROVILLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78237",
            "telephone_number": "210-436-6465",
            "fax_number": "210-432-6358"
        }
    ],
    "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": "21195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4580444",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468967",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #205",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP

• 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.