HEB PHARMACY #566
NPI 1083723407
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

Active since August 30, 2006CLIA 45D1071637 · Waiver

24165 IH 10 W STE 300, SAN ANTONIO, TX 78257(210) 687-1072(210) 687-1191 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 23, 2020, Jul 16, 2018, Nov 16, 2015 (3 updates tracked since 2015).

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About Heb Pharmacy #566 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEB PHARMACY #566 (NPI 1083723407) is a healthcare organization registered as a community/retail pharmacy in San Antonio, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists David Liendo, Government Programs Manager, as its authorized official.

NPPES Registry Identity

NPI1083723407

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameH-E-B, LP

Location Address24165 IH 10 W STE 300San Antonio, TX 78257

Mailing Address646 South FloresSan Antonio, TX 78204

Phone(210) 687-1072

Fax(210) 687-1191

Organization SubpartNo

Authorized OfficialDavid LiendoGovernment Programs Manager · (210) 938-3182

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 23, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1083723407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TX · 22152

Definition

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.

Also ListedClinical Medical LaboratoryTaxonomy 291U00000X

Also ListedPharmacyTaxonomy 333600000X

24165 IH 10 W STE 300, San Antonio, TX 78257

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Other Names 1

Doing Business AsHeb Pharmacy #566

Other Identifiers 2

Other4524600Ncpdp Provider Identification Number

Medicaid469625TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1071637

Heb Pharmacy 566 LP · San Antonio, TX

Active · expires Jul 29, 2027

CLIA Number45D1071637

Laboratory TypePharmacy

Certificate Effective DateJuly 30, 2025

Certificate Expiration DateJuly 29, 2027

Laboratory DirectorMary L. Brock

Laboratory Phone(210) 687-1072

Laboratory LocationHeb Pharmacy 566 LP24165 Ih 10 Suite 300, San Antonio, TX 78257

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

296 services295 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

260 services260 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

34 services33 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

32 services31 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

26 services26 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20525147
Accepts Medicare Assignment: YES
Specialities List: Pharmacy.
Competitive Bidding: NO

Supplies List

Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs -
Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs - FDA anticancer drugs
Oral Antiemetic Drugs - FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CLAUDIA CUELLAR RAMON RPH

Pharmacist