Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy #3 (1510)
- Community/Retail Pharmacy
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8878
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy #3 (1510)
- Practice address
- 6801 W 91St St
Overland Park, KS 66212-1459 - Phone
- (913) 385-7373
- Fax
- (913) 385-5126
- NPI assigned
- Jun 18, 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
- Vice President, Pharmacy
- Phone
- (515) 453-2784
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 209624 | KS | |
| Community/Retail Pharmacy | 3336C0003X | 8878 | KS | Primary |
Addresses
Primary practice location
6801 W 91St St
Overland Park, KS 66212-1459
Mailing address
PO Box 61
Cherokee, IA 51012-0061
Phone (712) 225-1903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1716349 | Other | KS | NCPDP |
| 100433500A | Medicaid | KS |
Other names 1
- Hy-Vee Pharmacy #3 (1510)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| 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… |
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 (1532)
- Community/Retail Pharmacy
- Prairie Village, KS
- NPI 1225066384
O20050712001041
-
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 (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
National Provider Directory
National Provider DirectoryLocations
6801 W 91st St
Overland Park, KS 66212
Phone (913) 385-7373
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Registered Dietitian
- Overland Park, KS
- NPI 1043534639
-
- Pharmacist
- Overland Park, KS
- NPI 1053610428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1326083965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61",
"city": "CHEROKEE",
"state": "IA",
"postal_code": "510120061",
"telephone_number": "712-225-1903",
"fax_number": "712-225-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 W 91ST ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121459",
"telephone_number": "913-385-7373",
"fax_number": "913-385-5126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"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": "VICE PRESIDENT, PHARMACY",
"authorized_official_telephone_number": "515-453-2784",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KS",
"license": "209624",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "8878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1716349",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100433500A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy #3 (1510)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy #3 (1510)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Overland Park, KS
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.