HEB PHARMACY #195
NPI 1285743617
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

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

The NPI number for H-E-B, LP is 1285743617. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Heb Pharmacy #195.

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 45D1071576 · Waiver

11551 WEST AVE, SAN ANTONIO, TX 78213(210) 340-7786(210) 308-0138 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 13, 2018 (2 updates tracked since 2018).

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About Heb Pharmacy #195 NPPES

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

HEB PHARMACY #195 (NPI 1285743617) 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

NPI1285743617

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameH-E-B, LP

Location Address11551 WEST AVESan Antonio, TX 78213

Mailing Address646 South FloresSan Antonio, TX 78204

Phone(210) 340-7786

Fax(210) 308-0138

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 1285743617 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 · 21094

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

11551 WEST AVE, San Antonio, TX 78213

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Other Names 1

Doing Business AsHeb Pharmacy #195

Other Identifiers 2

Medicaid470827TX

Other4557128Ncpdp 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 45D1071576

Heb Pharmacy #195 · San Antonio, TX

Active · expires Jul 29, 2027

CLIA Number45D1071576

Laboratory TypePharmacy

Certificate Effective DateJuly 30, 2025

Certificate Expiration DateJuly 29, 2027

Laboratory DirectorAndrew Acosta

Laboratory Phone(210) 938-2195

Laboratory LocationHeb Pharmacy #19511551 West Avenue, San Antonio, TX 78213

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 5

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.

110 services110 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.

83 services83 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.

20 services20 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.

14 services14 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.

13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Heb Pharmacy #195 carries, from the Medicare DMEPOS supplier directory.

Heb Pharmacy #195

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

✔

Accepts Medicare assignment

Heb Pharmacy #195 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)20524691

Medicare Participant SinceDecember 21, 2011

Supplier Location11551 West AveSan Antonio, TX 78213

Phone(210) 340-7786

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.

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.

MR. HUBERT HORACE BULLOCK JR. R.PH.

Pharmacist