HEB PHARMACY #734
NPI 1174043962
Pharmacy - Community/Retail Pharmacy in San Angelo, TX

Q: What is H-E-B, LP's NPI number?

The NPI number for H-E-B, LP is 1174043962. It was assigned to this organization in the NPPES registry on June 22, 2017. The provider is doing business as Heb Pharmacy #734.

Q: What is H-E-B, LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for H-E-B, LP was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2017CLIA 45D2137333 · Waiver

5502 SHERWOOD WAY, SAN ANGELO, TX 76901(325) 223-0771(325) 223-3183 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2020, Jul 17, 2018, Jun 22, 2017 (3 updates tracked since 2017).

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About Heb Pharmacy #734 NPPES

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

HEB PHARMACY #734 (NPI 1174043962) is a healthcare organization registered as a community/retail pharmacy in San Angelo, Texas and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists David Liendo, Government Programs Manager, as its authorized official.

NPPES Registry Identity

NPI1174043962

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameH-E-B, LP

Location Address5502 SHERWOOD WAYSan Angelo, TX 76901

Mailing Address646 S Flores StSan Antonio, TX 78204-1219

Phone(325) 223-0771

Fax(325) 223-3183

Organization SubpartNo

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

Enumeration DateJune 22, 2017

Last NPPES UpdateSeptember 23, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1174043962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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

5502 SHERWOOD WAY, San Angelo, TX 76901

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Other Names 1

Doing Business AsHeb Pharmacy #734

Other Identifiers 2

Medicaid471205TX

OtherPH0667TX · Immunization Ptan

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 45D2137333

Heb Pharmacy # 734 · San Angelo, TX

Active · expires Sep 24, 2027

CLIA Number45D2137333

Laboratory TypePharmacy

Certificate Effective DateSeptember 25, 2025

Certificate Expiration DateSeptember 24, 2027

Laboratory DirectorJoey Dougan

Laboratory Phone(210) 938-8915

Laboratory LocationHeb Pharmacy # 7345502 Sherwood Way, San Angelo, TX 76901

CLIA data matches this NPI record on: Address Name

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 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.

167 services166 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.

141 services141 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.

24 services24 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Heb Pharmacy #734 carries, from the Medicare DMEPOS supplier directory.

Heb Pharmacy #734

DMEPOS supplier · San Angelo, TXOperated by H-E-B LP

✔

Accepts Medicare assignment

Heb Pharmacy #734 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20524583

Medicare Participant SinceDecember 21, 2011

Supplier Location5502 Sherwood WaySan Angelo, TX 76901

Phone(325) 223-0771

Supplier Specialties

Pharmacy

Medicare Product Categories

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

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 10

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

CAROLYN RAMONA MOLINA

Pharmacy Technician