Hy-Vee Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1122 Issued in IA

Legal business name

HY-VEE INC

Doing business as

Hy-Vee Pharmacy (1353)

Practice address

809 W Rock Island St
Knoxville, IA 50138-1461

Phone

(641) 842-2512

Fax

(641) 842-4549

NPI assigned

Jun 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angie Nelson

Title

Senior Vice President

Phone

(515) 267-2800

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Hy-Vee Pharmacy (1353) Doing business as

Medicare fee-for-service enrollment

Enrolled in IA3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hy-Vee Inc

  dba Hy-Vee Pharmacy #4 (1148)

  • Community/Retail Pharmacy
  • Des Moines, IA
  • NPI 1003851627

  O20050224001012

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #1 (1013)

  • Community/Retail Pharmacy
  • Ames, IA
  • NPI 1043241300

  O20050224001012

  Same enrollment
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • West Des Moines, IA
  • NPI 1417121112

  O20050224001012

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #4 (1890)

  • Community/Retail Pharmacy
  • West Des Moines, IA
  • NPI 1457381097

  O20050224001012

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #3 (1889)

  • Community/Retail Pharmacy
  • West Des Moines, IA
  • NPI 1598792160

  O20050224001012

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #7 (1064)

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1679509319

  O20050224001012

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy (1271)

  • Community/Retail Pharmacy
  • Indianola, IA
  • NPI 1780610295

  O20050224001012

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1053353672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850442",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554850442",
            "telephone_number": "515-267-2800",
            "fax_number": "515-559-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W ROCK ISLAND ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501381461",
            "telephone_number": "641-842-2512",
            "fax_number": "641-842-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY-VEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "515-267-2800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "1122",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206730",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1620497",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hy-Vee Pharmacy (1353)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hy-Vee Pharmacy (1353)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Knoxville, IA
• Providers in Knoxville, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.