H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21063 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #070

Practice address

1345 Barrow St
Abilene, TX 79605

Phone

(325) 690-5011

Fax

(325) 690-5015

NPI assigned

Aug 30, 2006

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 3

Addresses

Other identifiers 2

Other names 1

• HEB Pharmacy #070 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

Practitioners 22

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
• Julio Acosta

  • Pharmacist
  • Abilene, TX
  • NPI 1760355465
  NPD (past)
• Kreed Mitchell Averhoff

  • Pharmacy Technician
  • Abilene, TX
  • NPI 1215898291
  NPD (past)
• Jacee Billings

  • Student in an Organized Health Care Education/Training Program
  • Abilene, TX
  • NPI 1659035913
  NPD (past)
• Lori Michelle Campbell, PHARMD

  • Pharmacist
  • Abilene, TX
  • NPI 1902148943
  NPD (past)
• John Barton Craft, RPH

  • Pharmacist
  • Abilene, TX
  • NPI 1730494949
  NPD (past)
• Elyjah Farmer

  • Pharmacist
  • Abilene, TX
  • NPI 1104797760
  NPD (past)
• Zackary Flight

  • Pharmacy Technician
  • Abilene, TX
  • NPI 1891384012
  NPD (past)
• Jaliyah Garza

  • Pharmacy Technician
  • Abilene, TX
  • NPI 1194447128
  NPD (past)
• Amber Faith Hackney, PHARM. D.

  • Pharmacist
  • Abilene, TX
  • NPI 1962075275
  NPD (past)
• Blake Ryan Holle

  • Pharmacist
  • Abilene, TX
  • NPI 1437909355
  NPD (past)
• Catherine Leigh Moss, PHARMD

  • Pharmacist
  • Abilene, TX
  • NPI 1942796016
  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": "1902915341",
    "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": "1345 BARROW ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79605",
            "telephone_number": "325-690-5011",
            "fax_number": "325-690-5015"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470126",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4583678",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #070",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felipe Perez Gumawid Jr., P.T.
• Caitlyn Gurk
• Eric Emil Gutschke, OTR
• Landry Cy Gwin
• Esther Gyamfi
• H. Miller Richert, M.D., P.a.
• Amber Faith Hackney, PHARM. D.
• Devyn D Hadley, MPT
• Tricia Hadsall
• Tsehaye Haile, FNP

• Community/Retail Pharmacy in Abilene, TX
• Providers in Abilene, 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.