Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy (1641)
- Community/Retail Pharmacy
- Springfield, MO
National Provider Identifier
1578843231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2011031082
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy (1641)
- Practice address
- 1720 W Battlefield St
Springfield, MO 65807-5359 - Phone
- (417) 881-1217
- NPI assigned
- Aug 25, 2011
- 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 | 2011031082 | MO | Primary |
Addresses
Primary practice location
1720 W Battlefield St
Springfield, MO 65807-5359
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000045189 | Other | MO | MEDICARE FLU |
Other names 1
- Hy-Vee Pharmacy (1641)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070213000432 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbia, MO; Jefferson City, MO; Kirksville, MO; Springfield, MO |
| O20111115000055 | MO | DME Supplier - Pharmacy | 7416855242 | Practice locations: Springfield, MO |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hy-Vee Pharmacy (1082)
- Community/Retail Pharmacy
- Columbia, MO
- NPI 1063735272
O20070213000432
-
dba Hy-Vee Pharmacy (1335)
- Community/Retail Pharmacy
- Kirksville, MO
- NPI 1467482281
O20070213000432
-
dba Hy-Vee Pharmacy (1303)
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1699968750
O20070213000432
-
dba Hy-Vee Pharmacy #2 (1081)
- Community/Retail Pharmacy
- Columbia, MO
- NPI 1801029830
O20070213000432
-
dba Hy-Vee Pharmacy (1076)
- Community/Retail Pharmacy
- Columbia, MO
- NPI 1871520221
O20070213000432
-
dba Hy-Vee Pharmacy 2 (1644)
- Community/Retail Pharmacy
- Springfield, MO
- NPI 1912650300
O20070213000432
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 |
|---|---|---|---|
| 26D2030810 | Hy-Vee Pharmacy (1641) | Certificate of waiver | Oct 4, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hy-Vee Pharmacy (1641) | 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|Urological Supplies|N… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Drug Town 7060
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.
-
dba Hy-Vee Pharmacy Fulfillment Ctr (4065)
- Community/Retail Pharmacy
- Kansas City, MO
- NPI 1134866973
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Belton, MO
- NPI 1982973129
-
- Registered Dietitian
- Kansas City, MO
- NPI 1871838763
-
- Registered Dietitian
- Kansas City, MO
- NPI 1447565619
-
- Registered Dietitian
- Independence, MO
- NPI 1396173209
-
- Registered Dietitian
- Independence, MO
- NPI 1730527383
-
- Registered Dietitian
- Lee's Summit, MO
- NPI 1144656646
-
- Registered Dietitian
- Kansas City, MO
- NPI 1013238708
-
- Registered Dietitian
- Springfield, MO
- NPI 1588970677
-
- Registered Dietitian
- Olathe, KS
- NPI 1336461888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1578843231",
"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": "1720 W BATTLEFIELD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075359",
"telephone_number": "417-881-1217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-25",
"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": "MO",
"license": "2011031082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE FLU",
"identifier": "000045189",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy (1641)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy (1641)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springfield, MO
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.