H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25757 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #029

Practice address

701 S Capital of Texas Hwy Building C
West Lake Hills, TX 78746

Phone

(512) 329-5184

Fax

(512) 329-5478

NPI assigned

Oct 9, 2007

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 2

Other names 1

• HEB Pharmacy #029 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 4

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

• Briahna D'Shae Brandt, CPHT

  • Pharmacy Technician
  • West Lake Hills, TX
  • NPI 1215606181
  NPD (past)
• Ian Durrant, PHARMD

  • Pharmacist
  • West Lake Hills, TX
  • NPI 1639775455
  NPD (past)
• Grace Sara Nicole Maxwell Tavis, CPHT

  • Pharmacy Technician
  • West Lake Hills, TX
  • NPI 1700765443
  NPD (past)
• David Richard Strauss, R.PH.

  • Pharmacist
  • West Lake Hills, TX
  • NPI 1700127578
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1750579256",
    "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": "701 S CAPITAL OF TEXAS HWY BUILDING C",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-329-5184",
            "fax_number": "512-329-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "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": "TX",
            "license": "25757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469798",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4546113",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #029",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Farish Groos
• Group Chiropractic
• Courtney Guess, LCSW
• Gupta Headache & Pain Institute, P.a. (Headache & Pain Center)
• Alexandra Gust, DPT
• Jean Caroline Haass, OTR
• Kiran J Hahn, RN, IBCLC
• Marie Noelle Handkins
• Avery Jordan Hanna
• Sean Michael Hanna, LAC

• Community/Retail Pharmacy in West Lake Hills, TX
• Providers in West Lake Hills, 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.