Heb, LP
Organization Active NPI Pharmacy · Willis, TX
NPI 1942932728 · NPPES record last updated Oct 25, 2023
Key facts
- NPI
- 1942932728
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- HEB, LP
- Practice address
- 12350 Ih 45 N
Willis, TX 77378 - Phone
- (936) 272-1027
- Fax
- (936) 272-2083
- NPI assigned
- Jun 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Jay Bueche
- Title
- Director Third Party Affairs
- Phone
- (210) 938-3182
Corporate family (same tax ID) 13
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 |
| O20230314000760 | TX | DME Supplier - Pharmacy | 8224190871 | Practice locations: Willis, TX |
National Provider Directory
- Tax ID family
- Heb Pharmacy 00173
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Pharmacy | 333600000X | Yes |
Addresses
Primary practice location
12350 Ih 45 N
Willis, TX 77378
Mailing address
646 S Flores St
San Antonio, TX 78204-1219
Other names
- HEB Pharmacy #791
Other providers in Willis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.