NPIMap

Organization Active NPI

Hy-Vee Inc

Doing business as Hy-Vee Pharmacy (1642)

  • Community/Retail Pharmacy
  • Sycamore, IL
National Provider Identifier
1215227673
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HY-VEE INC
Doing business as
Hy-Vee Pharmacy (1642)
Practice address
2700 Dekalb Ave
Sycamore, IL 60178-3127
Phone
(815) 758-8995
Fax
(815) 758-4915
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2700 Dekalb Ave
Sycamore, IL 60178-3127

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
989110OtherILMEDICARE FLU
1485514OtherILNCPDP

Other names 1

  • Hy-Vee Pharmacy (1642) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051213000438 IL Part B Supplier - Mass Immunization (Roster Biller Only) 7416855242 18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sycamore, IL; Springfield, IL; Silvis, IL; Rock Island, IL; Quincy, IL; Peru, IL; Peoria, IL; Moline, IL…
O20110908001914 IL DME Supplier - PharmacyDME Supplier - Grocery Store 7416855242 Practice locations: Sycamore, IL

Other NPIs on the same Medicare enrollment 17

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

View all 17

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
14D2025685Hy-Vee Pharmacy (1642)2700 Dekalb Ave, Sycamore, IL 60178Certificate of waiverJun 14, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hy-Vee Inc2700 Dekalb Ave, Sycamore, IL 60178-3127(815) 758-8995 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 assignmentParticipating since Dec 7, 2017

National Provider Directory

National Provider Directory
Tax ID family
Drug Town 7060278 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

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 (1047)

    • Community/Retail Pharmacy
    • Canton, IL
    • NPI 1023175338
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #1 (1533)

    • Community/Retail Pharmacy
    • Quincy, IL
    • NPI 1134158934
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #2 (1216)

    • Community/Retail Pharmacy
    • Galesburg, IL
    • NPI 1235164146
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1600)

    • Community/Retail Pharmacy
    • Silvis, IL
    • NPI 1275562092
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1549)

    • Community/Retail Pharmacy
    • Rock Island, IL
    • NPI 1285676791
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1416)

    • Community/Retail Pharmacy
    • Moline, IL
    • NPI 1346279130
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1525)

    • Community/Retail Pharmacy
    • Peru, IL
    • NPI 1437195161
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1420)

    • Community/Retail Pharmacy
    • Macomb, IL
    • NPI 1679502462
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy 1298

    • Community/Retail Pharmacy
    • Jacksonville, IL
    • NPI 1700613080
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1519)

    • Community/Retail Pharmacy
    • Peoria, IL
    • NPI 1730490673
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #2 (1534)

    • Community/Retail Pharmacy
    • Quincy, IL
    • NPI 1750310579
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1415)

    • Community/Retail Pharmacy
    • Milan, IL
    • NPI 1821027616
    NPD tax ID
View all 14

Locations

2700 DeKalb Ave
Sycamore, IL 60178
Phone (815) 756-6174

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1215227673",
    "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": "2700 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783127",
            "telephone_number": "815-758-8995",
            "fax_number": "815-758-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY-VEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU",
            "identifier": "989110",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1485514",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hy-Vee Pharmacy (1642)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hy-Vee Pharmacy (1642)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

  • 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.