HEB PHARMACY #642
NPI 1255440681
Pharmacy - Community/Retail Pharmacy in Pharr, TX

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

The NPI number for H-E-B, LP is 1255440681. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Heb Pharmacy #642.

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 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2006CLIA 45D1072158 · Waiver

1300 S CAGE BLVD, PHARR, TX 78577(956) 781-6626(956) 781-0561 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2020, Jul 18, 2018 (2 updates tracked since 2018).

On this page

About Heb Pharmacy #642 NPPES

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

HEB PHARMACY #642 (NPI 1255440681) is a healthcare organization registered as a community/retail pharmacy in Pharr, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists David Liendo, Government Programs Manager, as its authorized official.

NPPES Registry Identity

NPI1255440681

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameH-E-B, LP

Location Address1300 S CAGE BLVDPharr, TX 78577

Mailing Address646 South FloresSan Antonio, TX 78204

Phone(956) 781-6626

Fax(956) 781-0561

Organization SubpartNo

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

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1255440681 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 · 21099

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

1300 S CAGE BLVD, Pharr, TX 78577

Open in Google Maps ↗

Other Names 1

Doing Business AsHeb Pharmacy #642

Other Identifiers 2

Medicaid469263TX

Other4564159Ncpdp Provider Identification Number

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 45D1072158

Heb Pharmacy # 642 · Pharr, TX

Active · expires Aug 8, 2027

CLIA Number45D1072158

Laboratory TypePharmacy

Certificate Effective DateAugust 9, 2025

Certificate Expiration DateAugust 8, 2027

Laboratory DirectorKarla Moreno

Laboratory Phone(956) 781-6626

Laboratory LocationHeb Pharmacy # 6421300 South Cage Blvd, Pharr, TX 78577

CLIA data matches this NPI record on: Address Name Phone

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

Areas of Expertise CMS Part B claims 4

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.

49 services48 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.

39 services39 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.

12 services12 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.

12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Heb Pharmacy #642 carries, from the Medicare DMEPOS supplier directory.

Heb Pharmacy #642

DMEPOS supplier · Pharr, TXOperated by H-E-B LP

✔

Accepts Medicare assignment

Heb Pharmacy #642 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)20524733

Medicare Participant SinceDecember 21, 2011

Supplier Location1300 S Cage BlvdPharr, TX 78577

Phone(956) 781-6626

Supplier Specialties

Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

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

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

Leave this field empty

Other Providers at the Same Location NPPES 9

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

DR. JOHN M VILLANUEVA IV PHARM. D.

Pharmacist

1300 S CAGE BLVD, PHARMACY
PHARR, TX 78577

Hidalgo County (956) 781-6626

ANA LEAL RPH

Pharmacist