Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy #6 (1638)
- Community/Retail Pharmacy
- Sioux Falls, SD
National Provider Identifier
1366758559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 100-1960
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy #6 (1638)
- Practice address
- 1231 E 57TH St
Sioux Falls, SD 57108-5411 - Phone
- (605) 274-7062
- Fax
- (605) 274-7065
- NPI assigned
- Aug 25, 2010
- 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
- Angie Nelson
- Title
- Senior Vice President
- Phone
- (515) 267-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 100-1960 | SD | Primary |
Addresses
Primary practice location
1231 E 57TH St
Sioux Falls, SD 57108-5411
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366758559 | Medicaid | SD | |
| S103594 | Other | SD | MEDICARE FLU |
Other names 1
- Hy-Vee Pharmacy #6 (1638)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304000192 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sioux Falls, SD; Yankton, SD; Watertown, SD; Vermillion, SD; Hartford, SD; Brookings, SD |
| O20110208000298 | SD | DME Supplier - Pharmacy | 7416855242 | Practice locations: Sioux Falls, SD |
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 (1624)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1114957313
O20040304000192
-
dba Hy-Vee Clinic Pharmacy (1871)
- Community/Retail Pharmacy
- Watertown, SD
- NPI 1134286875
O20040304000192
-
dba Hy-Vee Pharmacy (1039)
- Community/Retail Pharmacy
- Brookings, SD
- NPI 1326078510
O20040304000192
-
dba Hy-Vee Pharmacy (1899)
- Community/Retail Pharmacy
- Yankton, SD
- NPI 1366472581
O20040304000192
-
dba Hy-Vee Pharmacy #3 (1632)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1376573584
O20040304000192
-
dba Hy-Vee Pharmacy (3633)
- Community/Retail Pharmacy
- Hartford, SD
- NPI 1407439359
O20040304000192
-
dba Hy-Vee Pharmacy #2 (1631)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1649200841
O20040304000192
-
dba Hy-Vee Pharmacy #5 (1637)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1700816915
O20040304000192
-
dba Hy-Vee Pharmacy #4 (1633)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1720020142
O20040304000192
-
dba Hy-Vee Pharmacy (1871)
- Community/Retail Pharmacy
- Watertown, SD
- NPI 1760412985
O20040304000192
-
dba Hy-Vee Pharmacy (1820)
- Community/Retail Pharmacy
- Vermillion, SD
- NPI 1871523092
O20040304000192
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 |
|---|---|---|---|
| 43D2019516 | Hy-Vee Pharmacy #1638 | Certificate of waiver | Jan 31, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Hy-Vee Pharmacy 1522
Organizations with this tax ID in the same state 11
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Hy-Vee Pharmacy Fulfillment Center (4069)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1407560329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1366758559",
"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": "1231 E 57TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571085411",
"telephone_number": "605-274-7062",
"fax_number": "605-274-7065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-25",
"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": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SD",
"license": "100-1960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366758559",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE FLU",
"identifier": "S103594",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy #6 (1638)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy #6 (1638)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sioux Falls, SD
- Sarah F Hutton, PHARM.D.
- Stephanie Huwer-Foell
- Hy-Vee Health PC
- Hy-Vee Health PC
- Hy-Vee Inc (Hy-Vee Pharmacy #1 (1624))
- Hy-Vee Inc (Hy-Vee Pharmacy #3 (1632))
- Hy-Vee Inc (Hy-Vee Pharmacy Fulfillment Center (4069))
- Hy-Vee Inc (Hy-Vee Pharmacy #2 (1631))
- Hy-Vee Inc (Hy-Vee Pharmacy #5 (1637))
- Hy-Vee Inc (Hy-Vee Pharmacy #4 (1633))
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.