Active NPI
Hy-Vee Inc
- Community/Retail Pharmacy
- Spencer, IA
National Provider Identifier
1659307239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1180
- Legal business name
- HY-VEE INC
- Practice address
- 819 Grand Ave
Spencer, IA 51301-3640 - Phone
- (712) 262-5611
- Fax
- (712) 262-2092
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Angie Nelson
- Title
- Senior Vice President
- Phone
- (515) 267-2800
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 |
|---|---|---|---|
| 16D1091421 | Hy-Vee Pharmacy #1636 | Certificate of waiver | Oct 30, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hy Vee Pharmacy 1636 | Epoetin|Immunosuppressive Drugs|Infusion 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|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgi… | Does not accept assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031230000598 | IA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
This NPI is an additional NPI on the enrollment Practice locations: Albia, IA |
| O20100930060022 | IA | DME Supplier - Pharmacy | 7416855242 | Practice locations: Spencer, IA |
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.
-
- Community/Retail Pharmacy
- Winfield, IA
- NPI 1538821103
-
- Community/Retail Pharmacy
- Waverly, IA
- NPI 1548296122
-
- Community/Retail Pharmacy
- Ottumwa, IA
- NPI 1558390898
-
- Community/Retail Pharmacy
- Carroll, IA
- NPI 1558398453
-
- Community/Retail Pharmacy
- Iowa City, IA
- NPI 1558785352
-
- Community/Retail Pharmacy
- Des Moines, IA
- NPI 1568407229
-
- Community/Retail Pharmacy
- Wapello, IA
- NPI 1578504981
-
- Community/Retail Pharmacy
- Spirit Lake, IA
- NPI 1609802081
-
- Community/Retail Pharmacy
- Albia, IA
- NPI 1619903341
-
- Community/Retail Pharmacy
- Iowa City, IA
- NPI 1639105158
-
- Community/Retail Pharmacy
- Mason City, IA
- NPI 1649533324
-
- Community/Retail Pharmacy
- Urbandale, IA
- NPI 1659307197
Locations
819 Grand Ave
Spencer, IA 51301
Phone (712) 262-5611
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1180 | IA | |
| Community/Retail Pharmacy | 3336C0003X | 1180 | IA | Primary |
| Long Term Care Pharmacy | 3336L0003X | 1180 | IA |
Addresses
NPPES NPI RegistryPrimary practice location
819 Grand Ave
Spencer, IA 51301-3640
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255232 | Medicaid | IA | |
| 1621196 | Other | IA | NCPDP |
Other names 1
NPPES NPI Registry- Hy-Vee Pharmacy (1636)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2023.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1659307239",
"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": "819 GRAND AVE",
"city": "SPENCER",
"state": "IA",
"postal_code": "513013640",
"telephone_number": "712-262-5611",
"fax_number": "712-262-2092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IA",
"license": "1180",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IA",
"license": "1180",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "IA",
"license": "1180",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0255232",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1621196",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy (1636)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy (1636)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spencer, IA
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.