H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21193 Issued in TX

Legal business name

H-E-B, LP

Practice address

8219 Marbach Rd
San Antonio, TX 78227

Phone

(210) 673-3230

Fax

(210) 675-2761

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 #613 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

Practitioners 22

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

• Samantha Nicole Bliss

  • Student in an Organized Health Care Education/Training Program
  • San Antonio, TX
  • NPI 1730778259
  NPD (past)
• Vanessa Cervantes, CPHT

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1083339949
  NPD (past)
• Ayobami Seun Fariyike, PHARM D

  • Pharmacist
  • San Antonio, TX
  • NPI 1235479296
  NPD (past)
• Oscar Flores

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1023788437
  NPD (past)
• Miranda Garzes

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1457220048
  NPD (past)
• Laura Harvey

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1881366524
  NPD (past)
• Megan Elizabeth Hilldore, CPHT

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1811669559
  NPD (past)
• Sofhia Cristina Lopez

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1841952942
  NPD (past)
• Katelyn Morgan Madlom

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1295324689
  NPD (past)
• Melissa Marie Ortiz

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1538758933
  NPD (past)
• Alyssa Breanne Ramos

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1417546672
  NPD (past)
• Jennifer Rangel

  • Pharmacy Technician
  • San Antonio, TX
  • NPI 1659960094
  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": "1912016346",
    "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": "8219 MARBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78227",
            "telephone_number": "210-673-3230",
            "fax_number": "210-675-2761"
        }
    ],
    "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": "21193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4554437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #613",
            "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.C. Enterprises, Inc

• 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.