MEDICARE: H-E-B, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21062	OTHER	TX	TSBP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4513520	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1679682090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H-E-B, LP

Provider Business Mailing Address
First Line	:	646 SOUTH FLORES
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6520 FRATT RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78218-4486
Country	:	US
Telephone Number	:	210-938-9734
Fax Number	:

Authorized Official
Title or Position	:	GOVERNMENT PROGRAMS MANAGER
Name	:	DAVID LIENDO
Credential	:
Telephone Number	:	210-938-3182

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	05/08/2020

Similar Medicare Providers

1679183081 — BRIANNA LINN GUTIERREZ PHARMD
Practice Location Address:

6520 FRATT RD STE 110
SAN ANTONIO, TX
78218-4486

Practice Phone: 210-646-0295
Practice Fax:

1912676826 — BRITTANY NICOLE SAMARRIPA CPHT
Practice Location Address:

6520 FRATT RD STE 110
SAN ANTONIO, TX
78218-4486

Practice Phone: 210-646-0248
Practice Fax:

1043188097 — ARIAN LYNN SPEARS
Practice Location Address:

7019 CAPELLA CIR
SAN ANTONIO, TX
78252-4486

Practice Phone: 214-864-5666
Practice Fax:

1174381743 — JULIA KEEFE
Practice Location Address:

4486 HAMILTON ST
SAN DIEGO, CA
92116-3001

Practice Phone: 703-628-0896
Practice Fax:

1992698161 — ALAMO CAREGIVING COMPANY LLC
Practice Location Address:

1919 OAKWELL FARMS PKWY STE 254
SAN ANTONIO, TX
78218-1777

Practice Phone: 830-500-2040
Practice Fax:

1144152893 — JAZZMINE CHIREE KELLY
Practice Location Address:

1919 OAKWELL FARMS PKWY STE 155
SAN ANTONIO, TX
78218-1777

Practice Phone: 210-201-4578
Practice Fax:

Directions to “H-E-B, LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.