Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Drugstore #4 (7025)
- Community/Retail Pharmacy
- Cedar Rapids, IA
National Provider Identifier
1245275007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 39
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Drugstore #4 (7025)
- Practice address
- 4825 Johnson Ave NW
Cedar Rapids, IA 52405-4207 - Phone
- (319) 396-7419
- Fax
- (319) 396-5916
- NPI assigned
- Jun 17, 2006
- Last updated
- Mar 11, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 39 | IA | Primary |
Addresses
Primary practice location
4825 Johnson Ave NW
Cedar Rapids, IA 52405-4207
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0242750 | Medicaid | IA | |
| 1614951 | Other | IA | NCPDP |
Other names 1
- Hy-Vee Drugstore #4 (7025)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031230000598 | IA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
This NPI is an additional NPI on the enrollment Practice locations: Albia, IA |
| O20100930088350 | IA | DME Supplier - Pharmacy | 7416855242 | Practice locations: Cedar Rapids, IA |
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 DS 4 (7025) | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Hy-Vee Pharmacy 1522
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Hy-Vee Resslers Clinic Pharmacy (1634)
- Community/Retail Pharmacy
- Laurens, IA
- NPI 1164602306
-
- Registered Dietitian
- West Des Moines, IA
- NPI 1225981343
Locations
4825 Johnson Ave NW
Cedar Rapids, IA 52405
Phone (319) 396-1939
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Pharmacist
- Cedar Rapids, IA
- NPI 1346873825
-
- Pharmacist
- Cedar Rapids, IA
- NPI 1568081297
-
- Pharmacist
- Cedar Rapids, IA
- NPI 1174146377
-
- Pharmacist
- Center Point, IA
- NPI 1588008486
-
- Pharmacist
- Cedar Rapids, IA
- NPI 1902437668
-
- Pharmacist
- Cedar Rapids, IA
- NPI 1225654718
-
- Pharmacist
- Cedar Rapids, IA
- NPI 1518590900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1245275007",
"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": "4825 JOHNSON AVE NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524054207",
"telephone_number": "319-396-7419",
"fax_number": "319-396-5916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"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": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IA",
"license": "39",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0242750",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1614951",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Drugstore #4 (7025)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Drugstore #4 (7025)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cedar Rapids, IA
- Ava Hutchinson
- Dianna Hutchinson, SLP
- HW Holdings (All About Eyes)
- Hy Vee Drugstore #5
- Hy-Vee Inc (Hy-Vee Pharmacy #1 (1054))
- Hy-Vee Inc (Hy-Vee Drugstore #6 (7019))
- Hy-Vee Inc (Hy-Vee Drugstore #5 (7026))
- Hy-Vee Inc (Hy-Vee Pharmacy #6 (1063))
- Hy-Vee Inc (Hy Vee Pharmacy 3)
- Hy-Vee Inc (Hy-Vee Pharmacy #7 (1064))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.