NPIMap

Organization Active NPI

Hy-Vee Inc

Doing business as Hy-Vee Pharmacy #1 (1385)

  • Community/Retail Pharmacy
  • Lincoln, NE
National Provider Identifier
1306092242
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2824 Issued in NE
Legal business name
HY-VEE INC
Doing business as
Hy-Vee Pharmacy #1 (1385)
Practice address
5010 O St
Lincoln, NE 68510-1951
Phone
(402) 465-0413
Fax
(402) 465-0417
NPI assigned
Aug 12, 2008
Last updated
Oct 4, 2023By the provider in NPPES
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 2824 NE
Community/Retail Pharmacy 3336C0003X 2824 NE Primary

Addresses

Primary practice location

5010 O St
Lincoln, NE 68510-1951

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
10025677600MedicaidNE
28-17659OtherNENCPDP

Other names 1

  • Hy-Vee Pharmacy #1 (1385) 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…
O20100930021207 NE DME Supplier - PharmacyDME Supplier - Grocery Store 7416855242 Practice locations: Lincoln, 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
28D1091427Hy-Vee Pharmacy #1 (1385)5010 O Street, Lincoln, NE 68510Certificate of waiverOct 30, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hy-Vee Pharmacy #1 (1385)5010 O St, Lincoln, NE 68510-1951(402) 465-0413 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 17

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 Hy-Vee Pharmacy #1 (1460)

    • Community/Retail Pharmacy
    • Norfolk, NE
    • NPI 1184669590
    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 #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 17

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1306092242",
    "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": "5010 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101951",
            "telephone_number": "402-465-0413",
            "fax_number": "402-465-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY-VEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "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": "NE",
            "license": "2824",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025677600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "28-17659",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hy-Vee Pharmacy #1 (1385)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hy-Vee Pharmacy #1 (1385)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

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.