HEB PHARMACY #643
NPI 1912020025
Pharmacy - Community/Retail Pharmacy in Corpus Christi, TX

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

The NPI number for H-E-B, LP is 1912020025. It was assigned to this organization in the NPPES registry on April 6, 2007. The provider is doing business as Heb Pharmacy #643.

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 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.

Active since April 06, 2007CLIA 45D1072693 · Waiver

4444 KOSTORYZ RD, CORPUS CHRISTI, TX 78415(361) 855-6121(361) 814-8382 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2020, Jul 16, 2018 (2 updates tracked since 2018).

On this page

About Heb Pharmacy #643 NPPES

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

HEB PHARMACY #643 (NPI 1912020025) is a healthcare organization registered as a community/retail pharmacy in Corpus Christi, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists David Liendo, Government Programs Manager, as its authorized official.

NPPES Registry Identity

NPI1912020025

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameH-E-B, LP

Location Address4444 KOSTORYZ RDCorpus Christi, TX 78415

Mailing Address646 South FloresSan Antonio, TX 78204

Phone(361) 855-6121

Fax(361) 814-8382

Organization SubpartNo

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

Enumeration DateApril 6, 2007

Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1912020025 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 · 21068

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

4444 KOSTORYZ RD, Corpus Christi, TX 78415

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Other Names 1

Doing Business AsHeb Pharmacy #643

Other Identifiers 2

Medicaid469126TX

Other4542987Ncpdp 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 45D1072693

Heb Pharmacy #643 · Corpus Christi, TX

Active · expires Aug 21, 2027

CLIA Number45D1072693

Laboratory TypePharmacy

Certificate Effective DateAugust 22, 2025

Certificate Expiration DateAugust 21, 2027

Laboratory DirectorRay Ramirez

Laboratory Phone(210) 938-2643

Laboratory LocationHeb Pharmacy #6434444 Kostoryz, Corpus Christi, TX 78415

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 2

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.

20 services19 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.

12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories H.E.B. Pharmacy #643 carries, from the Medicare DMEPOS supplier directory.

H.E.B. Pharmacy #643

DMEPOS supplier · Corpus Christi, TXOperated by H-E-B LP

✔

Accepts Medicare assignment

H.E.B. Pharmacy #643 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)20524847

Medicare Participant SinceDecember 21, 2011

Supplier Location4444 KostoryzCorpus Christi, TX 78415

Phone(512) 885-6121

Supplier Specialties

Pharmacy Grocery Store

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.

Other Providers at the Same Location NPPES 12

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

CINDY VALDEZ

Pharmacy Technician