H-E-B, LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

H-E-B, LP

Practice address

2501 W. University Blvd
Odessa, TX 79764

Phone

(432) 332-0475

Fax

(432) 368-8483

NPI assigned

Apr 1, 2015

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 2

Addresses

Other identifiers 3

Other names 1

• HEB Pharmacy #711 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

Locations

Practitioners 8

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

• Michele Dianne Eudy, C.PH.T.

  • Pharmacy Technician
  • Odessa, TX
  • NPI 1407445521
  NPD (past)
• Alexandra Ledbetter, PHARM.D.

  • Pharmacist
  • Odessa, TX
  • NPI 1518632165
  NPD (past)
• Yessica Meras

  • Pharmacy Technician
  • Odessa, TX
  • NPI 1679243000
  NPD (past)
• Yaneth Morales

  • Pharmacy Technician
  • Odessa, TX
  • NPI 1588387559
  NPD (past)
• Alicea Ortiz

  • Pharmacy Technician
  • Odessa, TX
  • NPI 1669349734
  NPD (past)
• Eric Sanchez

  • Pharmacist
  • Odessa, TX
  • NPI 1366140394
  NPD (past)
• Victoria Saucedo

  • Pharmacy Technician
  • Odessa, TX
  • NPI 1003586959
  NPD (past)
• Christina Marie Vier

  • Pharmacy Technician
  • Odessa, TX
  • NPI 1508584558
  NPD (past)

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1962897405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 SOUTH FLORES STREET",
            "city": "SAN ANTONO",
            "state": "TX",
            "postal_code": "782041210",
            "telephone_number": "210-938-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W. UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79764",
            "telephone_number": "432-332-0475",
            "fax_number": "432-368-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H-E-B, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "29880",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469496",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5915496",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEB Pharmacy #711",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEB Pharmacy #711",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reena Sri Ramya Guttha, DDS
• Asusena Guzman, PT
• Esther G Guzman, LVN
• Destiny Paige Gwyn, RN, IBCLC
• H-E-B, LP
• H.Q. Chiropractic, PLLC
• Safaa Habib, M.D.
• Jenna L Hadley, BSN-RN
• Hae Ran Helen Rhim,Mdpa
• John Darrell Halcomb, M.D.

• All providers in Odessa, TX
• 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.