Hy-Vee Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

210080 Issued in KS

Legal business name

HY-VEE INC

Doing business as

Hy-Vee Pharmacy #2 (1464)

Practice address

18101 W. 119TH St
Olathe, KS 66061

Phone

(913) 393-4154

Fax

(913) 393-3211

NPI assigned

Jul 17, 2006

Last updated

Oct 4, 2023By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• Hy-Vee Pharmacy #2 (1464) Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hy-Vee Inc

  dba Hy-Vee Pharmacy (1532)

  • Community/Retail Pharmacy
  • Prairie Village, KS
  • NPI 1225066384

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #1 (1560)

  • Community/Retail Pharmacy
  • Shawnee, KS
  • NPI 1235165812

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #1 (1508)

  • Community/Retail Pharmacy
  • Overland Park, KS
  • NPI 1255367835

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #3 (1510)

  • Community/Retail Pharmacy
  • Overland Park, KS
  • NPI 1326083965

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy (1463)

  • Community/Retail Pharmacy
  • Olathe, KS
  • NPI 1356377931

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #2 (1509)

  • Community/Retail Pharmacy
  • Overland Park, KS
  • NPI 1427093061

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #2 (1658)

  • Community/Retail Pharmacy
  • Topeka, KS
  • NPI 1487825683

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy (1398)

  • Community/Retail Pharmacy
  • Manhattan, KS
  • NPI 1528297074

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy #1 (1377)

  • Community/Retail Pharmacy
  • Lawrence, KS
  • NPI 1902841687

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy 1383

  • Community/Retail Pharmacy
  • Lenexa, KS
  • NPI 1912500356

  O20050712001041

  Same enrollment
• Hy-Vee Inc

  dba Hy-Vee Pharmacy (1422)

  • Community/Retail Pharmacy
  • Mission, KS
  • NPI 1982649661

  O20050712001041

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Warrensburg, MO
  • NPI 1962083279

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1841218864",
    "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": "18101 W. 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-393-4154",
            "fax_number": "913-393-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY-VEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "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": "KS",
            "license": "210080",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "210080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100433400C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1718949",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100433400D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hy-Vee Pharmacy #2 (1464)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hy-Vee Pharmacy #2 (1464)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derrick Lance Hurst, LSCSW
• Justine Hurst
• Katrina Huseman
• Eric Richard Hutley, DC
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• Sadaf Imran, DDS
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• Community/Retail Pharmacy in Olathe, KS
• Providers in Olathe, KS by specialty
• Community/Retail Pharmacy in Kansas

• 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.

Verify at the official NPI Registry.