Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy (1034)
- Community/Retail Pharmacy
- Belton, MO
National Provider Identifier
1124058938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6572
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy (1034)
- Practice address
- 1307 E North Ave
Belton, MO 64012-5109 - Phone
- (816) 318-0404
- Fax
- (816) 318-0467
- NPI assigned
- Jul 4, 2006
- Last updated
- Feb 9, 2023
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6572 | MO | |
| Community/Retail Pharmacy | 3336C0003X | 6572 | MO | Primary |
Addresses
Primary practice location
1307 E North Ave
Belton, MO 64012-5109
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 623993805 | Medicaid | MO | |
| 603993809 | Medicaid | MO | |
| 2632443 | Other | MO | NCPDP |
Other names 1
- Hy-Vee Pharmacy (1034)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050301000077 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gladstone, MO; Warrensburg, MO; Trenton, MO; St Joseph, MO; Raytown, MO; Princeton, MO; Maryville, MO; Liberty, MO… |
| O20100930037840 | MO | DME Supplier - Pharmacy | 7416855242 | Practice locations: Belton, MO |
Other NPIs on the same Medicare enrollment 18
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hy-Vee Pharmacy #1 (1260)
- Community/Retail Pharmacy
- Independence, MO
- NPI 1053349050
O20050301000077
-
dba Hy-Vee Pharmacy (1542)
- Community/Retail Pharmacy
- Raytown, MO
- NPI 1154358687
O20050301000077
-
dba Hy-vee Pharmacy (1406)
- Community/Retail Pharmacy
- Maryville, MO
- NPI 1164452801
O20050301000077
-
dba Hy-Vee Pharmacy #1 (1380)
- Community/Retail Pharmacy
- Lee's Summit, MO
- NPI 1205864295
O20050301000077
-
dba Hy-Vee Pharmacy (1552)
- Community/Retail Pharmacy
- Saint Joseph, MO
- NPI 1306876040
O20050301000077
-
dba Hy-Vee Pharmacy (1219)
- Community/Retail Pharmacy
- Gladstone, MO
- NPI 1336179159
O20050301000077
-
dba Hy-Vee Pharmacy (1036)
- Community/Retail Pharmacy
- Bethany, MO
- NPI 1356378293
O20050301000077
-
dba Hy-Vee Clinic Pharmacy (1036)
- Community/Retail Pharmacy
- Princeton, MO
- NPI 1417983503
O20050301000077
-
dba Hy-Vee Pharmacy (1007)
- Community/Retail Pharmacy
- Albany, MO
- NPI 1508331224
O20050301000077
-
dba Hy-Vee Pharmacy #2 (1261)
- Community/Retail Pharmacy
- Independence, MO
- NPI 1538194618
O20050301000077
-
dba Hy-Vee Pharmacy (1384)
- Community/Retail Pharmacy
- Liberty, MO
- NPI 1578590006
O20050301000077
-
dba Hy-Vee Pharmacy (1077)
- Community/Retail Pharmacy
- Chillicothe, MO
- NPI 1821026915
O20050301000077
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hy Vee Pharmacy #1034 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/o… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Hy-Vee Pharmacy 1530
Organizations with this tax ID in the same state 15
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Hy-Vee Pharmacy Fulfillment Ctr (4065)
- Community/Retail Pharmacy
- Kansas City, MO
- NPI 1134866973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675900800000",
"number": "1124058938",
"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": "1307 E NORTH AVE",
"city": "BELTON",
"state": "MO",
"postal_code": "640125109",
"telephone_number": "816-318-0404",
"fax_number": "816-318-0467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"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": "MO",
"license": "6572",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "6572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "623993805",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "603993809",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2632443",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy (1034)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy (1034)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.