Active NPI
Hy-Vee Inc
Doing business as Hy Vee Pharmacy
- Community/Retail Pharmacy
- Papillion, NE
National Provider Identifier
1467679563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2755
- Legal business name
- HY-VEE INC
- Doing business as
- Hy Vee Pharmacy
- Practice address
- 111650 S 73Rd St
Papillion, NE 68046-1500 - Phone
- (402) 597-5056
- Fax
- (402) 339-4596
- NPI assigned
- Apr 19, 2007
- Last updated
- Feb 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2755 | NE | |
| Community/Retail Pharmacy | 3336C0003X | 2755 | NE | Primary |
Addresses
Primary practice location
111650 S 73Rd St
Papillion, NE 68046-1500
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025507200 | Medicaid | NE | |
| 2817382 | Other | OTHER ID NUMBER |
Other names 1
- HY VEE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20100930032609 | NE | DME Supplier - Pharmacy | 7416855242 | Practice locations: Papillion, NE |
Other NPIs on the same Medicare enrollment 25
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hy-Vee Pharmacy (1527)
- Community/Retail Pharmacy
- Plattsmouth, NE
- NPI 1073941852
O20070817000562
-
dba Hy-Vee Pharmacy (1620)
- Community/Retail Pharmacy
- South Sioux City, NE
- NPI 1083650964
O20070817000562
-
dba Hy-Vee Pharmacy #9 (1472)
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1164467585
O20070817000562
-
dba Hy-Vee Pharmacy #1 (1460)
- Community/Retail Pharmacy
- Norfolk, NE
- NPI 1184669590
O20070817000562
-
dba Hy-Vee Pharmacy #1 (1385)
- Community/Retail Pharmacy
- Lincoln, NE
- NPI 1306092242
O20070817000562
-
dba Hy-Vee Pharmacy #2 (1466)
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1336184712
O20070817000562
-
dba Hy-Vee Pharmacy #11 (1478)
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1346521168
O20070817000562
-
dba Hy-Vee Pharmacy #5 (1390)
- Community/Retail Pharmacy
- Lincoln, NE
- NPI 1457389819
O20070817000562
-
dba Hy-Vee Pharmacy #4 (1388)
- Community/Retail Pharmacy
- Lincoln, NE
- NPI 1467497842
O20070817000562
-
dba Hy-Vee Pharmacy (7090)
- Community/Retail Pharmacy
- West Point, NE
- NPI 1487119541
O20070817000562
-
dba Hy-Vee Pharmacy #6
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1598700643
O20070817000562
-
dba Hy-Vee Pharmacy (1078)
- Community/Retail Pharmacy
- Columbus, NE
- NPI 1629013180
O20070817000562
National Provider Directory
National Provider Directory- Tax ID family
- Hy-Vee Pharmacy 1522
Organizations with this tax ID in the same state 23
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Midtown Hy-Vee Diabetes Education Program
- Community/Retail Pharmacy
- Omaha, NE
- NPI 1194126698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675814400000",
"number": "1467679563",
"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": "515-557-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111650 S 73RD ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680461500",
"telephone_number": "402-597-5056",
"fax_number": "402-339-4596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"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": "2755",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NE",
"license": "2755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025507200",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "2817382",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HY VEE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.