HEB PHARMACY #094 (H-E-B, LP) NPI 1003030636

Pharmacy (Community/Retail Pharmacy) in Mission, TX

NPI 1003030636 Organization Pharmacy Community/Retail Pharmacy CLIA Number 45D1072131 CLIA Certificate of Waiver

About HEB PHARMACY #094 (H-E-B, LP)

Heb Pharmacy #094 (h-e-b, Lp) is a provider established in Mission, Texas specializing in pharmacy (community/retail pharmacy) . The NPI number of Heb Pharmacy #094 (h-e-b, Lp) is 1003030636 and was assigned on April 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 25447 (TX). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Heb Pharmacy #094. The authorized official of this NPI record is David Liendo (Government Programs Manager)

The CLIA number of Heb Pharmacy #094 is 45D1072131 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Heb Pharmacy #094 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003030636

Provider NameHEB PHARMACY #094 (H-E-B, LP)
Provider Location Address2409 E EXPRESSWAY 83 MISSION, TX 78572
Provider Mailing Address646 SOUTH FLORES SAN ANTONIO, TX 78204
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHEB PHARMACY #094
Other Name TypeDoing Business As (3)
Enumeration Date04-13-2007
Last Update Date09-23-2020


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.25447
License StateTX
Taxonomy DescriptionA 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.

Business Address

HEB PHARMACY #094
2409 E EXPRESSWAY 83
MISSION, TX
ZIP 78572
Phone: (956) 205-6755
Fax: (956) 205-6781

Get Directions


Mailing Address

HEB PHARMACY #094
646 SOUTH FLORES
SAN ANTONIO, TX
ZIP 78204
Phone:



Authorized Official

Authorized Official Name DAVID LIENDO
Authorized Official TitleGOVERNMENT PROGRAMS MANAGER
Authorized Official Phone(210) 938-3182

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003030636 is:

CLIA Number45D1072131
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1291U00000XLaboratoriesClinical Medical LaboratoryNo

Taxonomy Description: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

2332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4544171OTHER (01)
468852MEDICAID (05)TX

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780924787DR. JOSE MALACARA PHARMD
Individual
Pharmacist2409 E EXPRESSWAY 83
MISSION, TX 78572
(956) 205-6755
1942541743 LOUELLA HERRERA
Individual
Pharmacist2409 E EXPRESSWAY 83
MISSION, TX 78572
(956) 205-6755
1821608571 KATHRYN LEONOR GARCIA PHARM D
Individual
Pharmacist2409 E EXPRESSWAY 83
MISSION, TX 78572
(956) 205-6755

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.