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

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: July 19, 2026.

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

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
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

Other Names 1

Doing Business AsHeb Pharmacy #643

Other Identifiers 2

Medicaid469126TX
Other4542987Ncpdp Provider Identification Number

Accepted 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

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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 20 times for 19 patients

Influenza vaccine, inactivated

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.

This service was performed 12 times for 12 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20524847
Accepts Medicare Assignment
YES
Specialities List
Pharmacy, Grocery Store.
Competitive Bidding
NO

Supplies List

  • 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

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Pharmacist
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacist
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacist
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacist
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacist
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacy Technician
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacy Technician
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacy Technician
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacy Technician
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacy Technician
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacy Technician
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415
Pharmacist
4444 KOSTORYZ RD
CORPUS CHRISTI, TX 78415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912020025, enumerated as an "organization" on April 06, 2007.

The provider is located at 4444 KOSTORYZ RD CORPUS CHRISTI, TX 78415 and the phone number is (361) 855-6121.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.