NPIMap

Organization Active NPI

Hy-Vee Inc

Doing business as Hy-Vee Pharmacy #1 (1460)

  • Community/Retail Pharmacy
  • Norfolk, NE
National Provider Identifier
1184669590
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2327 Issued in NE
Legal business name
HY-VEE INC
Doing business as
Hy-Vee Pharmacy #1 (1460)
Practice address
120 E Norfolk Ave
Norfolk, NE 68701-5300
Phone
(402) 371-0610
Fax
(402) 844-3157
NPI assigned
Jun 19, 2006
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2327 NE
Community/Retail Pharmacy 3336C0003X 2327 NE Primary

Addresses

Primary practice location

120 E Norfolk Ave
Norfolk, NE 68701-5300

Mailing address

PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800

Other identifiers 1

IdentifierTypeStateIssuer
2815047OtherNENCPDP

Other names 1

  • Hy-Vee Pharmacy #1 (1460) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070817000562 NE Part B Supplier - Mass Immunization (Roster Biller Only) 7416855242 27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Omaha, NE; Papillion, NE; Plattsmouth, NE; South Sioux City, NE; West Point, NE; Columbus, NE; Fremont, NE; Grand Island, NE…
O20100930000348 NE DME Supplier - PharmacyDME Supplier - Grocery Store 7416855242 Practice locations: Norfolk, NE

Other NPIs on the same Medicare enrollment 25

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

View all 25

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0927942Hy-Vee Pharmacy #1 (1460)120 East Norfolk Avenue, Norfolk, NE 68701Certificate of waiverMay 4, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hy-Vee Pharmacy #1 (1460)120 E Norfolk Ave, Norfolk, NE 68701-5300(402) 371-0610 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|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|N… Does not accept assignmentParticipating since Dec 7, 2017

National Provider Directory

National Provider Directory
Tax ID family
Hy-Vee Pharmacy 1522278 organizations share this tax ID, including this one

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.

  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1527)

    • Community/Retail Pharmacy
    • Plattsmouth, NE
    • NPI 1073941852
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1620)

    • Community/Retail Pharmacy
    • South Sioux City, NE
    • NPI 1083650964
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #9 (1472)

    • Community/Retail Pharmacy
    • Omaha, NE
    • NPI 1164467585
    NPD tax ID
  • Hy-Vee Inc

    dba Midtown Hy-Vee Diabetes Education Program

    • Community/Retail Pharmacy
    • Omaha, NE
    • NPI 1194126698
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #1 (1385)

    • Community/Retail Pharmacy
    • Lincoln, NE
    • NPI 1306092242
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #2 (1466)

    • Community/Retail Pharmacy
    • Omaha, NE
    • NPI 1336184712
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #11 (1478)

    • Community/Retail Pharmacy
    • Omaha, NE
    • NPI 1346521168
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #10 (1474)

    • Community/Retail Pharmacy
    • Omaha, NE
    • NPI 1356378392
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #5 (1390)

    • Community/Retail Pharmacy
    • Lincoln, NE
    • NPI 1457389819
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #4 (1388)

    • Community/Retail Pharmacy
    • Lincoln, NE
    • NPI 1467497842
    NPD tax ID
  • Hy-Vee Inc

    dba Hy Vee Pharmacy

    • Community/Retail Pharmacy
    • Papillion, NE
    • NPI 1467679563
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (7090)

    • Community/Retail Pharmacy
    • West Point, NE
    • NPI 1487119541
    NPD tax ID
View all 15

Locations

120 E Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-0610

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1184669590",
    "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": "120 E NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015300",
            "telephone_number": "402-371-0610",
            "fax_number": "402-844-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY-VEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "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": "NE",
            "license": "2327",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2815047",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hy-Vee Pharmacy #1 (1460)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hy-Vee Pharmacy #1 (1460)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.