H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21065 Issued in TX

Legal business name

H-E-B, LP

Practice address

2150 W Washington St
Stephenville, TX 76401

Phone

(254) 965-2267

Fax

(254) 965-0832

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 #006 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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

• Joyce Bramlett

  • Pharmacist
  • Stephenville, TX
  • NPI 1851619019
  NPD (past)
• Maria Eugenia Chavez

  • Pharmacy Technician
  • Stephenville, TX
  • NPI 1659960169
  NPD (past)
• Jessica Finley

  • Pharmacy Technician
  • Stephenville, TX
  • NPI 1801507587
  NPD (past)
• Krista Kay Hutchison, PHARM D

  • Pharmacist
  • Stephenville, TX
  • NPI 1982069738
  NPD (past)
• Kimberly Iley

  • Pharmacy Technician
  • Stephenville, TX
  • NPI 1235728650
  NPD (past)
• Wesley Alan Jones

  • Pharmacist
  • Stephenville, TX
  • NPI 1821316480
  NPD (past)
• Timothy Chad Mangrum

  • Pharmacy Technician
  • Stephenville, TX
  • NPI 1487365169
  NPD (past)

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

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": "1831208255",
    "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": "2150 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "76401",
            "telephone_number": "254-965-2267",
            "fax_number": "254-965-0832"
        }
    ],
    "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": "21065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4517287",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468936",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #006",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathy J Gregory, LCSW
• Kimberly Grose
• Jaime Grothouse, DO
• Sreenivas Gudimetla, M.D.
• Aditi Gupta
• H.O.P.E., Inc.
• Haadion DME Supplies LLC
• Paula Hale, SLP
• James Warren Haley Jr., DDS
• Rickey L Hamilton, LMT,MTI

• All providers in Stephenville, TX
• 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.