Active NPI
Hy-Vee, Inc.
Doing business as Hy-Vee Pharmacy (1355)
- Community/Retail Pharmacy
- La Crosse, WI
National Provider Identifier
1396460861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HY-VEE, INC.
- Doing business as
- Hy-Vee Pharmacy (1355)
- Practice address
- 4200 State Hwy 16
La Crosse, WI 54601 - Phone
- (608) 668-6601
- Fax
- (608) 781-0520
- NPI assigned
- Oct 7, 2022
- Last updated
- Oct 7, 2022
- 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
- SVP Pharmacy
- Phone
- (515) 267-2800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4200 State Hwy 16
La Crosse, WI 54601
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other names 1
- Hy-Vee Pharmacy (1355)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100308000208 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fitchburg, WI; Wausau, WI; Oregon, WI; Madison, WI; Janesville, WI; Eau Claire, WI; Ashwaubenon, WI; La Crosse, WI |
| O20240422000715 | WI | DME Supplier - Pharmacy | 7416855242 | Practice locations: La Crosse, WI |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hy-Vee Pharmacy (1184)
- Community/Retail Pharmacy
- Fitchburg, WI
- NPI 1053732420
O20100308000208
-
dba Hy-Vee Pharmacy #2 (1392)
- Community/Retail Pharmacy
- Madison, WI
- NPI 1376885152
O20100308000208
-
dba Hy-Vee Pharmacy (1166)
- Community/Retail Pharmacy
- Eau Claire, WI
- NPI 1386319077
O20100308000208
-
dba Hy-Vee Pharmacy (#1876)
- Community/Retail Pharmacy
- Wausau, WI
- NPI 1396619839
O20100308000208
-
dba Hy-Vee Pharmacy (1482)
- Community/Retail Pharmacy
- Oregon, WI
- NPI 1447034160
O20100308000208
-
dba Hy-Vee Pharmacy (1025)
- Community/Retail Pharmacy
- Ashwaubenon, WI
- NPI 1447975925
O20100308000208
-
dba Hy-Vee Pharmacy (1391)
- Community/Retail Pharmacy
- Madison, WI
- NPI 1801028030
O20100308000208
-
dba Hy-Vee Pharmacy (#1296)
- Community/Retail Pharmacy
- Janesville, WI
- NPI 1871299040
O20100308000208
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 Inc | 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|Tracheotomy Supplies|… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Hy-Vee Pharmacy 1530
Organizations with this tax ID in the same state 8
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665100800000",
"number": "1396460861",
"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": "4200 STATE HWY 16",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "54601",
"telephone_number": "608-668-6601",
"fax_number": "608-781-0520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-05",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "SVP PHARMACY",
"authorized_official_telephone_number": "515-267-2800"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy (1355)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.