H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21068 Issued in TX

Legal business name

H-E-B, LP

Doing business as

HEB Pharmacy #643

Practice address

4444 Kostoryz Rd
Corpus Christi, TX 78415

Phone

(361) 855-6121

Fax

(361) 814-8382

NPI assigned

Apr 6, 2007

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 names 1

• HEB Pharmacy #643 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 9

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
• Trevor Baldwin, PHARMD

  • Pharmacist
  • Corpus Christi, TX
  • NPI 1235757683
  NPD (past)
• Julie A Cisneros

  • Pharmacy Technician
  • Corpus Christi, TX
  • NPI 1912587890
  NPD (past)
• Ashley Nicole Fonseca

  • Pharmacist
  • Corpus Christi, TX
  • NPI 1801470968
  NPD (past)
• Britni Marie Pantoja-Reyes

  • Pharmacy Technician
  • Corpus Christi, TX
  • NPI 1982284972
  NPD (past)
• Joseph Ross Salinas, PHARMD

  • Pharmacist
  • Corpus Christi, TX
  • NPI 1942856463
  NPD (past)
• Primitivo Sanchez Jr.

  • Pharmacy Technician
  • Corpus Christi, TX
  • NPI 1740871045
  NPD (past)
• Lisa Angel Sandoval

  • Pharmacy Technician
  • Corpus Christi, TX
  • NPI 1609442938
  NPD (past)
• Cindy Valdez

  • Pharmacy Technician
  • Corpus Christi, TX
  • NPI 1124617592
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1912020025",
    "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": "4444 KOSTORYZ RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78415",
            "telephone_number": "361-855-6121",
            "fax_number": "361-814-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #643",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• H-E-B, LP (HEB Pharmacy #413)
• H-E-B, LP (HEB Pharmacy #462)
• H-E-B, LP (HEB Pharmacy #069)
• H-E-B, LP (HEB Pharmacy #253)
• H-E-B, LP (HEB Pharmacy #270)
• H-E-B, LP (HEB Pharmacy #139)
• H.E.a.L., Inc.
• Duyen My Ha
• Monica Sooby Haas, CSA
• Mariellen Rose Haber, MD

• Community/Retail Pharmacy in Corpus Christi, TX
• Providers in Corpus Christi, 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.