Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy Fulfillment Center (4068)
- Community/Retail Pharmacy
- Davenport, IA
National Provider Identifier
1427773191
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 Fulfillment Center (4068)
- Practice address
- 3860 Elmore Ave
Davenport, IA 52807-2591 - Phone
- (563) 362-9670
- NPI assigned
- Oct 5, 2022
- 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
- SVP Pharmacy
- Phone
- (515) 267-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3860 Elmore Ave
Davenport, IA 52807-2591
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other names 1
- Hy-Vee Pharmacy Fulfillment Center (4068)
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.
Locations
3860 Elmore Ave
Davenport, IA 52807
Phone (563) 362-9670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1427773191",
"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": "3860 ELMORE AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072591",
"telephone_number": "563-362-9670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-05",
"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": "SVP PHARMACY",
"authorized_official_telephone_number": "515-267-2800"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy Fulfillment Center (4068)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy Fulfillment Center (4068)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Davenport, IA
- HW Holdings (All About Eyes)
- Hy-Vee Inc (Hy-Vee Pharmacy #3 (1107))
- Hy-Vee Inc (Hy-Vee Pharmacy #2 (1106))
- Hy-Vee Inc (Hy-Vee Pharmacy #5 (1109))
- Hy-Vee Inc (Hy-Vee Pharmacy #4 (1108))
- Hy-Vee Inc (Hy-Vee Pharmacy #1 (1105))
- Nathaniel Hyatt, DMD
- Roger Jonathan Hynes, D.C.
- Ebehireme E Ibazebo, M.D
- Kelsey Ibeawuchi, PHARMD
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.