H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21086 Issued in TX

Legal business name

H-E-B, LP

Practice address

4100 S New Braunfels Ave
San Antonio, TX 78223

Phone

(210) 531-3160

Fax

(210) 531-0775

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 #026 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.

Medicare medical equipment & supply locations

Locations

Practitioners 18

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

• Alejandro Almaguer, RPH

  • Pharmacist
  • San Antonio, TX
  • NPI 1083217012
  NPD
• Maria Ball

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1518845122
  NPD
• Mario Silva Bermudez, RPHT

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1477142974
  NPD
• Vanessa Rosa Bonilla

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1720758683
  NPD
• Tiara Renee Brown

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1104703883
  NPD
• Mary Helen Garcia

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1659099885
  NPD
• Alexandra Gonzalez

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1285304089
  NPD
• Priscilla Elizabeth Jimenez

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1720716434
  NPD
• Samantha Richardson

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1043075146
  NPD
• Jacob Daniel Ruelas

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1083293005
  NPD
• Legacy Alianna Taylor

  • Student in an Organized Health Care Education/Training Program
  • San Antonio, TX
  • NPI 1114896420
  NPD
• Virginia Avalos, PHARM.D.

  • Pharmacist
  • San Antonio, TX
  • NPI 1356682397
  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": "1831208263",
    "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": "782041210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78223",
            "telephone_number": "210-531-3160",
            "fax_number": "210-531-0775"
        }
    ],
    "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": "21086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4551861",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469280",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #026",
            "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.