Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy #3 (1322)
- Community/Retail Pharmacy
- Kansas City, MO
National Provider Identifier
1831482512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2011019727
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy #3 (1322)
- Practice address
- 5330 NW 64TH Street
Kansas City, MO 64151-2414 - Phone
- (816) 505-7163
- Fax
- (816) 505-1768
- NPI assigned
- May 27, 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 | 2011019727 | MO | Primary |
Addresses
Primary practice location
5330 NW 64TH Street
Kansas City, MO 64151-2414
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831482512 | Medicaid | MO |
Other names 1
- Hy-Vee Pharmacy #3 (1322)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050301000077 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gladstone, MO; Warrensburg, MO; Trenton, MO; St Joseph, MO; Raytown, MO; Princeton, MO; Maryville, MO; Liberty, MO… |
| O20111007000483 | MO | DME Supplier - Pharmacy | 7416855242 | Practice locations: Kansas City, MO |
Other NPIs on the same Medicare enrollment 18
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hy-Vee Pharmacy #1 (1260)
- Community/Retail Pharmacy
- Independence, MO
- NPI 1053349050
O20050301000077
-
dba Hy-Vee Pharmacy (1034)
- Community/Retail Pharmacy
- Belton, MO
- NPI 1124058938
O20050301000077
-
dba Hy-Vee Pharmacy (1542)
- Community/Retail Pharmacy
- Raytown, MO
- NPI 1154358687
O20050301000077
-
dba Hy-vee Pharmacy (1406)
- Community/Retail Pharmacy
- Maryville, MO
- NPI 1164452801
O20050301000077
-
dba Hy-Vee Pharmacy #1 (1380)
- Community/Retail Pharmacy
- Lee's Summit, MO
- NPI 1205864295
O20050301000077
-
dba Hy-Vee Pharmacy (1552)
- Community/Retail Pharmacy
- Saint Joseph, MO
- NPI 1306876040
O20050301000077
-
dba Hy-Vee Pharmacy (1219)
- Community/Retail Pharmacy
- Gladstone, MO
- NPI 1336179159
O20050301000077
-
dba Hy-Vee Pharmacy (1036)
- Community/Retail Pharmacy
- Bethany, MO
- NPI 1356378293
O20050301000077
-
dba Hy-Vee Clinic Pharmacy (1036)
- Community/Retail Pharmacy
- Princeton, MO
- NPI 1417983503
O20050301000077
-
dba Hy-Vee Pharmacy (1007)
- Community/Retail Pharmacy
- Albany, MO
- NPI 1508331224
O20050301000077
-
dba Hy-Vee Pharmacy #2 (1261)
- Community/Retail Pharmacy
- Independence, MO
- NPI 1538194618
O20050301000077
-
dba Hy-Vee Pharmacy (1384)
- Community/Retail Pharmacy
- Liberty, MO
- NPI 1578590006
O20050301000077
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 |
|---|---|---|---|
| 26D2027297 | Hy-Vee Pharmacy #13 (1322) | Certificate of waiver | Jul 20, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hy-Vee Pharmacy #3 (1322) | 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|Nebulizer Equipment and/or Supplies|Surgical Dressings|Diabetic Shoes and Inserts | 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 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1831482512",
"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": "5330 NW 64TH STREET",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641512414",
"telephone_number": "816-505-7163",
"fax_number": "816-505-1768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-27",
"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": "2011019727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831482512",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy #3 (1322)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy #3 (1322)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kansas City, 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.