HEB PHARMACY #642 – Community/Retail Pharmacy, NPI 1255440681
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for HEB PHARMACY #642
San Antonio, Avenida 1 Oriente, Fortín de las Flores, Veracruz, 94470, Mexico
SAN ANTONIO, TX 78204
Phone:
Type: Mailing
H-E-B Plus!, 1300, South Cage Boulevard, McDaniel Colonia, Pharr, Hidalgo County, Texas, 78577, United States
PHARR, TX 78577
Phone: (956) 781-6626
Fax: (956) 781-0561
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (112 days away).
Enrollment records
1
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930010801 | O | Pharmacy | TX | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 100 | 21 | $0 |
| G0008 | Administration of influenza virus vaccine | 43 | 43 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 30 | 30 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 28 | 28 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 17 | 17 | $0 |
Insurance plans in this area (ZIP 78204)
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