Hy-Vee Inc
Organization Active NPI Community/Retail Pharmacy · Spring Valley, MN
NPI 1760940233 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1760940233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- HY-VEE INC
- Practice address
- 802 Memorial Dr Ste 100
Spring Valley, MN 55975-1024 - Phone
- (507) 346-7273
- Fax
- (507) 346-9809
- NPI assigned
- Mar 4, 2019
- Organization subpart
- No
Authorized official
- Name
- Angie Nelson
- Title
- Senior Vice President
- Phone
- (515) 267-2800
Other NPIs on the same Medicare enrollment 42
Corporate family (same tax ID) 19
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2207950 | Hy-Vee Healthmarket Pharmacy #7077 | Certificate of waiver | Jan 1, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hy-Vee Healthmarket RX (7077) |
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|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Implanted In… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| 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… |
| O20190624002640 | MN | DME Supplier - Pharmacy | 7416855242 | Practice locations: Spring Valley, MN |
National Provider Directory
- Tax ID family
- Drug Town 7060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
802 Memorial Dr Ste 100
Spring Valley, MN 55975-1024
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 453-2796
Other names
- Hy-Vee HealthMarket Rx (7077)
Other providers in Spring Valley, MN
- Jason Fuah
- Michael W Gordon
- Jessica Gorr
- Brice Greene
- Denise Ann Hays
- Thomas Lewis
- McBe Company
- Mettler Family Chiropractic PA
- Kristi Jane Mettler
- William Cecil Mettler
All providers in Spring Valley, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.