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HEB PHARMACY #387
NPI 1619086063
Pharmacy - Community/Retail Pharmacy in Odessa, TX

Active since August 30, 2006CLIA Certified · 2 labs
3801 E 42ND ST, ODESSA, TX 79762(432) 362-4555(432) 362-4514 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2020, Jul 18, 2018, Nov 20, 2015 (3 updates tracked since 2015).

About Heb Pharmacy #387 NPPES

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

HEB PHARMACY #387 (NPI 1619086063) is a healthcare organization registered as a community/retail pharmacy in Odessa, Texas and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists David Liendo, Government Programs Manager, as its authorized official.

NPPES Registry Identity

NPI1619086063
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameH-E-B, LP
Location Address3801 E 42ND STOdessa, TX 79762
Mailing Address646 South FloresSan Antonio, TX 78204
Phone(432) 362-4555
Fax(432) 362-4514
Organization SubpartNo
Authorized OfficialDavid LiendoGovernment Programs Manager · (210) 938-3182
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 25, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
✔ NPI 1619086063 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 · 21138
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
3801 E 42ND ST, Odessa, TX 79762
Open in Google Maps ↗

Other Names 1

Doing Business AsHeb Pharmacy #387

Other Identifiers 2

Other4599138Ncpdp Provider Identification Number
Medicaid469052TX

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 2

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 45D1072062

Heb Pharmacy #387 LP · Odessa, TX
Active · expires Aug 7, 2027
CLIA Number45D1072062
Laboratory TypePharmacy
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorDustin Pool
Laboratory Phone(432) 362-4555
Laboratory LocationHeb Pharmacy #387 LP3801 East 42nd Street, Odessa, TX 79762
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2096962

Heb Pharmacy #711 · Odessa, TX
Active · expires Jun 3, 2027
CLIA Number45D2096962
Laboratory TypePharmacy
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorMyra Y. Smedley
Laboratory Phone(432) 362-4555
Laboratory LocationHeb Pharmacy #7112501 University, Odessa, TX 79764
CLIA data matches this NPI record on: 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 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.
156 services152 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.
122 services122 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.
38 services38 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.
34 services34 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 Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Heb Pharmacy #711 carries, from the Medicare DMEPOS supplier directory.

Heb Pharmacy #711

DMEPOS supplier · Odessa, TXOperated by H-E-B LP
✔

Accepts Medicare assignment

Heb Pharmacy #711 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)20523743
Medicare Participant SinceDecember 21, 2011
Supplier Location2501 W University BlvdOdessa, TX 79764
Phone(432) 332-0475
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 10

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

CAROL LAWSON VINCENT
Pharmacist
3801 E 42ND ST
ODESSA, TX 79762
Ector County (432) 362-4555
JESSICA FIELDS BIZZELL
Pharmacist
3801 E 42ND ST
ODESSA, TX 79762
Ector County (432) 362-4555
DR. LANCE KNEESE PHARMD
Pharmacist
3801 E 42ND ST
ODESSA, TX 79762
Ector County (432) 362-4555
BENJAMIN BAKER
Pharmacist
3801 E 42ND ST
ODESSA, TX 79762
Ector County (432) 362-4555
DR. LINDA CAROL MICK PHARMD
Pharmacist
3801 E 42ND ST, HEB PHARMACY
ODESSA, TX 79762
Ector County (432) 362-4555
ASHLEY CABALLERO
Pharmacy Technician
3801 E 42ND ST
ODESSA, TX 79762
Ector County (432) 362-4555
MS. NICHOLE L. VENTERS R.PH.
Pharmacist
3801 E 42ND ST
ODESSA, TX 79762
Ector County (432) 362-4555
TERESA HARTMAN RPH
Pharmacist
3801 E 42ND ST
ODESSA, TX 79762
Ector County (432) 362-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for H-E-B, LP is 1619086063. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Heb Pharmacy #387.

Where is H-E-B, LP located?

H-E-B, LP is located at 3801 E 42nd St, Odessa, TX 79762. The listed phone number is (432) 362-4555.

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.

Does H-E-B, LP accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Heb Pharmacy #711 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does H-E-B, LP hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does H-E-B, LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 52 other insurers list H-E-B, LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for H-E-B, LP was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.