Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Care (4013)
- Long Term Care Pharmacy
- Urbandale, IA
National Provider Identifier
1285653923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 1211
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Care (4013)
- Practice address
- 3994 NW Urbandale Dr
Urbandale, IA 50322-7922 - Phone
- (515) 278-0117
- Fax
- (515) 278-6165
- NPI assigned
- Jul 19, 2006
- Last updated
- Oct 4, 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
- Mr. Robert G. Egeland, R.PH.
- Title
- Asst. Vice President, Pharmacy
- Phone
- (515) 453-2784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 1211 | IA | Primary |
Addresses
Primary practice location
3994 NW Urbandale Dr
Urbandale, IA 50322-7922
Mailing address
5820 Westown Pkwy
West Des Moines, IA 50266-8223
Phone (515) 453-2784
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606223907 | Medicaid | MO | |
| 0298463 | Medicaid | IA | |
| 8531920 | Medicaid | SD |
Other names 1
- Hy-Vee Care (4013)
National Provider Directory
National Provider Directory- Tax ID family
- Hy-Vee Pharmacy 1530
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.
-
- Registered Dietitian
- West Des Moines, IA
- NPI 1225981343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1285653923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 WESTOWN PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668223",
"telephone_number": "515-453-2784",
"fax_number": "515-327-2162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3994 NW URBANDALE DR",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503227922",
"telephone_number": "515-278-0117",
"fax_number": "515-278-6165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A",
"authorized_official_last_name": "EGELAND",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "ASST. VICE PRESIDENT, PHARMACY",
"authorized_official_telephone_number": "515-453-2784",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "IA",
"license": "1211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "606223907",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298463",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8531920",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Care (4013)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Care (4013)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Urbandale, IA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.