H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #647

Practice address

8300 Floyd Curl Dr
Ste 105
San Antonio, TX 78229

Phone

(210) 593-0291

Fax

(210) 593-0474

NPI assigned

Mar 29, 2011

Last updated

Sep 25, 2020By the provider in NPPES

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 2

Addresses

Other identifiers 1

Other names 1

• HEB Pharmacy #647 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 8

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
• Genee' R Bailey, PHARMD

  • Pharmacist
  • San Antonio, TX
  • NPI 1477868172
  NPD (past)
• Felicia Tovar Cabello, PHARM.D

  • Pharmacist
  • San Antonio, TX
  • NPI 1568986610
  NPD (past)
• Ashton Lace Collins, CPHT

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1770211427
  NPD (past)
• Dylan Demo

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1831788249
  NPD (past)
• Brianna Linn Gutierrez, PHARMD

  • Pharmacist
  • San Antonio, TX
  • NPI 1679183081
  NPD (past)
• Janet Thongkam, RPH

  • Pharmacist
  • San Antonio, TX
  • NPI 1417678384
  NPD (past)
• Joseph Tran

  • Pharmacist
  • San Antonio, TX
  • NPI 1932443710
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1801185004",
    "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": "8300 FLOYD CURL DR",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-593-0291",
            "fax_number": "210-593-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469071",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #647",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEB Pharmacy #647",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• H-E-B, LP (HEB Pharmacy #189)
• H-E-B, LP (HEB Fulfillment Center)
• H-E-B, LP (HEB Pharmacy #205)
• H-E-B, LP (HEB Pharmacy #384)
• H-E-B, LP (HEB Pharmacy #191)
• H-E-B, LP (HEB Pharmacy #211)
• H-E-B, LP (HEB Pharmacy #026)
• H-E-B, LP (HEB Pharmacy #623)
• H-E-B, LP (HEB Pharmacy #613)
• H-E-B, LP (HEB Pharmacy #807)

• 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.