Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy (1532)
- Community/Retail Pharmacy
- Prairie Village, KS
National Provider Identifier
1225066384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8909
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy (1532)
- Practice address
- 7620 Stateline
Prairie Village, KS 66208 - Phone
- (913) 383-8322
- Fax
- (913) 383-8362
- NPI assigned
- Jun 29, 2006
- 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 | 209299 | IA | |
| Community/Retail Pharmacy | 3336C0003X | 8909 | KS | Primary |
Addresses
Primary practice location
7620 Stateline
Prairie Village, KS 66208
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1716488 | Other | KS | NCPDP |
| 602780017 | Medicaid | MO | |
| 10043351D | Medicaid | KS | |
| 100433510A | Medicaid | KS |
Other names 1
- Hy-Vee Pharmacy (1532)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050712001041 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
13 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Overland Park, KS; Topeka, KS; Shawnee, KS; Prairie Village, KS; Olathe, KS; Mission, KS; Manhattan, KS; Lenexa, KS… |
| O20100930063151 | KS | DME Supplier - Pharmacy | 7416855242 | Practice locations: Prairie Village, KS |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hy-Vee Pharmacy #1 (1560)
- Community/Retail Pharmacy
- Shawnee, KS
- NPI 1235165812
O20050712001041
-
dba Hy-Vee Pharmacy #1 (1508)
- Community/Retail Pharmacy
- Overland Park, KS
- NPI 1255367835
O20050712001041
-
dba Hy-Vee Pharmacy #3 (1510)
- Community/Retail Pharmacy
- Overland Park, KS
- NPI 1326083965
O20050712001041
-
dba Hy-Vee Pharmacy (1463)
- Community/Retail Pharmacy
- Olathe, KS
- NPI 1356377931
O20050712001041
-
dba Hy-Vee Pharmacy #2 (1509)
- Community/Retail Pharmacy
- Overland Park, KS
- NPI 1427093061
O20050712001041
-
dba Hy-Vee Pharmacy #2 (1658)
- Community/Retail Pharmacy
- Topeka, KS
- NPI 1487825683
O20050712001041
-
dba Hy-Vee Pharmacy (1398)
- Community/Retail Pharmacy
- Manhattan, KS
- NPI 1528297074
O20050712001041
-
dba Hy-Vee Pharmacy #2 (1464)
- Community/Retail Pharmacy
- Olathe, KS
- NPI 1841218864
O20050712001041
-
dba Hy-Vee Pharmacy #1 (1377)
- Community/Retail Pharmacy
- Lawrence, KS
- NPI 1902841687
O20050712001041
-
dba Hy-Vee Pharmacy 1383
- Community/Retail Pharmacy
- Lenexa, KS
- NPI 1912500356
O20050712001041
-
dba Hy-Vee Pharmacy (1422)
- Community/Retail Pharmacy
- Mission, KS
- NPI 1982649661
O20050712001041
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0972008 | Hy-Vee Pharmacy (1532) | Certificate of waiver | Jan 25, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Hy-Vee Pharmacy 1530
Organizations with this tax ID in the same state 10
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
7620 State Line Rd
Prairie Vlg, KS 66208
Phone (913) 383-8303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682380800000",
"number": "1225066384",
"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": "7620 STATELINE",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "66208",
"telephone_number": "913-383-8322",
"fax_number": "913-383-8362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"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": "209299",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "8909",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1716488",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "602780017",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10043351D",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100433510A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy (1532)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy (1532)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.