Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy (1896)
- Community/Retail Pharmacy
- Winona, MN
National Provider Identifier
1740216902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 262141-6
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy (1896)
- Practice address
- 1475 W Service Dr
Winona, MN 55987-2512 - Phone
- (507) 452-5254
- Fax
- (507) 452-9592
- NPI assigned
- Jun 22, 2006
- Last updated
- Feb 16, 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 | 262141-6 | MN | |
| Community/Retail Pharmacy | 3336C0003X | 262141-6 | MN | Primary |
Addresses
Primary practice location
1475 W Service Dr
Winona, MN 55987-2512
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367604800 | Medicaid | MN | |
| 2424719 | Other | MN | NCPDP |
| 0569129 | Medicaid | IA | |
| 33260300 | Medicaid | WI |
Other names 1
- Hy-Vee Pharmacy (1896)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040701000521 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
44 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Plymouth, MN; Preston, MN; Robbinsdale, MN; Rochester, MN; Saint Charles, MN; Saint Peter, MN; Savage, MN; Shakopee, MN… |
| O20100930035266 | MN | DME Supplier - Pharmacy | 7416855242 | Practice locations: Winona, MN |
Other NPIs on the same Medicare enrollment 42
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hy-Vee Pharmacy (1441)
- Community/Retail Pharmacy
- New Ulm, MN
- NPI 1043249691
O20040701000521
-
dba Hy-Vee Pharmacy (1177)
- Community/Retail Pharmacy
- Faribault, MN
- NPI 1053340711
O20040701000521
-
dba Hy-Vee Pharmacy (1531)
- Community/Retail Pharmacy
- Plymouth, MN
- NPI 1053895722
O20040701000521
-
dba Hy-Vee Pharmacy (1897)
- Community/Retail Pharmacy
- Worthington, MN
- NPI 1073819629
O20040701000521
-
dba Hy-Vee Healthmarket Rx (7046)
- Community/Retail Pharmacy
- Kasson, MN
- NPI 1104384650
O20040701000521
-
dba Hy-Vee Pharmacy #2 (1548)
- Community/Retail Pharmacy
- Rochester, MN
- NPI 1134161680
O20040701000521
-
dba Hy-Vee Pharmacy (1545)
- Community/Retail Pharmacy
- Robbinsdale, MN
- NPI 1134615800
O20040701000521
-
dba Hy-Vee Pharmacy (1040)
- Community/Retail Pharmacy
- Brooklyn Park, MN
- NPI 1144679010
O20040701000521
-
dba Hy-Vee Pharmacy (1559)
- Community/Retail Pharmacy
- Savage, MN
- NPI 1174069942
O20040701000521
-
dba Hy-Vee Pharmacy (1400)
- Community/Retail Pharmacy
- Marshall, MN
- NPI 1184664476
O20040701000521
-
dba Hy-Vee HealthMarket Rx (7069)
- Community/Retail Pharmacy
- Preston, MN
- NPI 1225596737
O20040701000521
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 |
|---|---|---|---|
| 24D2012752 | Hy-Vee Inc | Certificate of waiver | Sep 8, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hy-Vee Pharmacy (1896) | 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|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/o… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Hy-Vee Pharmacy 1522
Organizations with this tax ID in the same state 21
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Winona, MN
- NPI 1487545406
-
- Registered Dietitian
- Winona, MN
- NPI 1790060515
-
- Pharmacist
- Winona, MN
- NPI 1730208372
-
- Pharmacist
- Winona, MN
- NPI 1417555186
-
- Pharmacist
- Winona, MN
- NPI 1003935636
-
- Pharmacist
- Winona, MN
- NPI 1710617345
-
- Registered Dietitian
- San Francisco, CA
- NPI 1992124770
-
- Pharmacist
- La Crosse, WI
- NPI 1972284404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676505600000",
"number": "1740216902",
"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": "1475 W SERVICE DR",
"city": "WINONA",
"state": "MN",
"postal_code": "559872512",
"telephone_number": "507-452-5254",
"fax_number": "507-452-9592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"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": "MN",
"license": "262141-6",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "262141-6",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "367604800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2424719",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0569129",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33260300",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy (1896)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy (1896)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.