H-E-B, LP
Organization Active NPI Community/Retail Pharmacy · Frisco, TX
NPI 1902544166 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1902544166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- H-E-B, LP
- Practice address
- 4800 Main St
Frisco, TX 75033 - Phone
- (210) 938-2789
- NPI assigned
- May 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Jay Bueche
- Title
- Director Third Party Affairs
- Phone
- (210) 938-8578
Corporate family (same tax ID) 15
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2268582 | Heb Pharmacy #789 | Certificate of waiver | Sep 13, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Heb Pharmacy #789 |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081216000621 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224190871 | This NPI is an additional NPI on the enrollment |
| O20230109000334 | TX | DME Supplier - Pharmacy | 8224190871 | Practice locations: Frisco, TX |
National Provider Directory
- Tax ID family
- Heb Pharmacy 00173
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4800 Main St
Frisco, TX 75033
Mailing address
646 S Flores St
San Antonio, TX 78204-1219
Other names
- HEB Pharmacy #789
NPI Registry JSON
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653523200000",
"number": "1902544166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 S FLORES ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782041219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 MAIN ST",
"city": "FRISCO",
"state": "TX",
"postal_code": "75033",
"telephone_number": "210-938-2789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H-E-B, LP",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-26",
"last_updated": "2022-05-26",
"certification_date": "2022-05-10",
"status": "A",
"authorized_official_last_name": "BUECHE",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "DIRECTOR THIRD PARTY AFFAIRS",
"authorized_official_telephone_number": "210-938-8578"
},
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HEB Pharmacy #789",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Frisco, TX
- Chrissie Gutierrez
- Regina Gwandua
- Quincy Assoku Gyekye
- Natalie Monique H Guadalupe
- H-E-B, LP
- H&M Ride LLC
- Tuan Quang Ha
- Hacienda Garza Holdings Inc
- Kaitlyn Hacker-Keeling
- Shawn Hackworth
All providers in Frisco, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.