H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26957 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #619

Practice address

949 William D Fitch Pkwy
College Station, TX 77845

Phone

(979) 690-4690

Fax

(979) 690-4981

NPI assigned

Jul 23, 2010

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 2

Other names 1

• HEB Pharmacy #619 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 14

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
• Jordan Augustine

  • Pharmacy
  • College Station, TX
  • NPI 1982573200
  NPD (past)
• Britney Yvonne Connally

  • Pharmacist
  • College Station, TX
  • NPI 1750042925
  NPD (past)
• Nicholas Tyler Dennie

  • Pharmacy Technician
  • College Station, TX
  • NPI 1407445729
  NPD (past)
• Colton James Eckhardt, PHARMACY INTERN

  • Student in an Organized Health Care Education/Training Program
  • College Station, TX
  • NPI 1649098666
  NPD (past)
• Bennie Lloyd Forbes III, CPHT

  • Pharmacy Technician
  • College Station, TX
  • NPI 1972192375
  NPD (past)
• Danielle Garrison, CPHT

  • Pharmacy Technician
  • College Station, TX
  • NPI 1801549613
  NPD (past)
• Elizabeth Nicole Hail

  • Pharmacy Technician
  • College Station, TX
  • NPI 1891677035
  NPD (past)
• Tori Lyn James, PHARMD

  • Pharmacist
  • College Station, TX
  • NPI 1083201974
  NPD (past)
• Shane Lechler

  • Pharmacist
  • College Station, TX
  • NPI 1558801100
  NPD (past)
• Macy Martin

  • Pharmacist
  • College Station, TX
  • NPI 1871283655
  NPD (past)
• Roger Peart, PHARM.D.,R.PH

  • Pharmacist
  • College Station, TX
  • NPI 1336456482
  NPD (past)

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1831402577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 SOUTH FLORES",
            "address_2": "SOUTH 1/PHARMACY ATTN: LYNDA RODRIGUEZ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78204",
            "telephone_number": "210-938-3182",
            "fax_number": "210-938-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 WILLIAM D FITCH PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-690-4690",
            "fax_number": "979-690-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "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": "26957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5900673",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468850",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #619",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEB Pharmacy #619",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jadie Yu Guo, M. D.
• Cecilia-Ann Gurka
• Justin Michael Guy
• Emmanuel Gyebi
• Jennifer Gyldenege, DPT
• H-E-B, LP (HEB Pharmacy #746)
• H-E-B, LP (Heb Pharmacy #543)
• Charles Y Hachem, MD
• David Lyon Hackethorn, M.D.
• Anthony Joseph Hackett, D.O.

• Community/Retail Pharmacy in College Station, TX
• Providers in College Station, 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.