H-E-B, LP (NPI# 1215046644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215046644 |
| Entity Type | Organization |
| Organization Name | H-E-B, LP |
| Other Organization Name | HEB PHARMACY #488 |
| Practice Address |
1600 Wildcat Dr Portland TX 78374 |
| Mailing Address |
646 South Flores San Antonio TX 78204 |
| Practice Telephone | 3616431514 |
| Practice Fax Number | 3616439117 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | DAVID LIENDO (GOVERNMENT PROGRAMS MANAGER) |
| Authorized Official Telephone | 2109383182 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
21174 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 469954 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4535437 | 01 |
| Other Name | Type Code |
|---|---|
| HEB PHARMACY | Doing Business As Name - Organization |
| HEB Pharmacy #488 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044392 | H-e-b, Lp | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1023630274 | H-e-b, Lp | Pharmacy | 3503 Fredericksburg Rd Ste 450, San Antonio, TX 78201-3969 | 2020-05-11 |
| 1770120669 | H-e-b, Lp | Clinical Medical Laboratory | 9211 Fm 723 Rd, Richmond, TX 77406 | 2019-12-10 |
| 1689211575 | H-e-b, Lp | Clinical Medical Laboratory | 8801 S Congress Ave, Austin, TX 78745-7389 | 2019-12-10 |
| 1396382552 | H-e-b, Lp | Clinical Medical Laboratory | 1601 Trinity St Bldg A Ste 105, Austin, TX 78712 | 2019-12-06 |
| 1205478484 | H-e-b, Lp | Clinical Medical Laboratory | 4955 Beechnut St, Houston, TX 77096-1600 | 2019-10-09 |
| 1346891991 | H-e-b, Lp | Clinical Medical Laboratory | 6520 Fratt Rd Ste 110, San Antonio, TX 78218-4402 | 2019-09-25 |
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| Street Address |
1600 WILDCAT DR |
| City | PORTLAND |
| State | TX |
| Zip Code | 78374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205292828 | Ricardo Leveck Jr. | Pharmacist | 1600 Wildcat Dr, Portland, TX 78374-2816 | 2016-01-12 |
| 1508173147 | Deborah Sams Delarosa | Pharmacist | 1600 Wildcat Dr, Portland, TX 78374-2816 | 2010-09-02 |
| 1427364272 | Tandy Wilkerson | Pharmacist | 1600 Wildcat Dr, Portland, TX 78374-2816 | 2010-08-30 |
| 1104144047 | Andrew L Esquivel | Pharmacist | 1600 Wildcat Dr, Portland, TX 78374-2816 | 2010-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1760962997 | Kimberly Beal | Licensed Vocational Nurse | 201 Sabine St, Portland, TX 78374 | 2018-08-16 |
| 1134577836 | Christopher Tipton | Specialist/Technologist | 4800 Wildcat Dr., Portland, TX 78374 | 2016-06-03 |
| 1134592629 | Coastal Bend Physicians Pllc | Clinic/Center | 1860 Us Highway 181, Suite C, Portland, TX 78374 | 2015-11-05 |
| 1093191397 | Coastal Er IIi, LLC | Clinic/Center | 1860 Highway 181 Frontage Road, Ste C, Portland, TX 78374 | 2015-08-10 |
| 1376942466 | Allen Portland Dentistry Associates Pllc | Dentist | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
| 1699188284 | Leola Brumley | Speech-Language Pathologist | 2002 Matagorda Dr., Portland, TX 78374 | 2014-06-11 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| 1538355219 | Andrew Marcus Rosendahl | Physician Assistant | 1912 Falcon Drive, Portland, TX 78374 | 2007-09-17 |
| Find all providers in zip 78374 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747775 | Cordant Pharmacy Oregon, LLC | Pharmacy | 6135 Ne 80th Ave Ste A2, Portland, OR 97218-4033 | 2020-07-21 |
| 1578184909 | Capsule Portland LLC | Pharmacy | 416 Nw 12th Ave, Portland, OR 97209-2907 | 2020-04-27 |
| 1588291645 | Avita Drugs Oregon, LLC | Pharmacy | 2236 Se Belmont St Ste B, Portland, OR 97214-2817 | 2020-03-26 |
| 1649800186 | A & S Pharmacy LLC | Pharmacy | 1660 Wildcat Dr, Portland, TX 78374-2830 | 2020-01-23 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1538653654 | Division Pharmacy Inc. | Pharmacy | 10918 Se Division St, Portland, OR 97266-1259 | 2018-06-21 |
| 1659755593 | Portland Professional Pharmacy, LLC | Pharmacy | 11717 Ne Glisan St, Portland, OR 97220-2141 | 2015-07-09 |
| 1992194062 | Professionl Pharmacy | Pharmacy | 10000 Se Main St Ste 201, Portland, OR 97216-2448 | 2015-01-13 |
| 1932597978 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 | 2014-12-29 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on H-E-B, LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.