Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy (1820)
- Community/Retail Pharmacy
- Vermillion, SD
National Provider Identifier
1871523092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 100-1836
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy (1820)
- Practice address
- 525 W Cherry St
Vermillion, SD 57069-1141 - Phone
- (605) 624-9591
- Fax
- (605) 624-9593
- NPI assigned
- Jul 4, 2006
- Last updated
- Oct 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 100-1742 | SD | |
| Community/Retail Pharmacy | 3336C0003X | 100-1836 | SD | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
525 W Cherry St
Vermillion, SD 57069-1141
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0554329 | Medicaid | IA | |
| 4305149 | Other | SD | NCPDP |
| 8502060 | Medicaid | SD |
Other names 1
- Hy-Vee Pharmacy (1820)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040304000192 | SD | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sioux Falls, SD; Yankton, SD; Watertown, SD; Vermillion, SD; Hartford, SD; Brookings, SD |
| O20100930055410 | SD | DME Supplier - Pharmacy | 7416855242 | Practice locations: Vermillion, SD |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hy-Vee Pharmacy #1 (1624)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1114957313
O20040304000192
-
dba Hy-Vee Clinic Pharmacy (1871)
- Community/Retail Pharmacy
- Watertown, SD
- NPI 1134286875
O20040304000192
-
dba Hy-Vee Pharmacy (1039)
- Community/Retail Pharmacy
- Brookings, SD
- NPI 1326078510
O20040304000192
-
dba Hy-Vee Pharmacy (1899)
- Community/Retail Pharmacy
- Yankton, SD
- NPI 1366472581
O20040304000192
-
dba Hy-Vee Pharmacy #6 (1638)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1366758559
O20040304000192
-
dba Hy-Vee Pharmacy #3 (1632)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1376573584
O20040304000192
-
dba Hy-Vee Pharmacy (3633)
- Community/Retail Pharmacy
- Hartford, SD
- NPI 1407439359
O20040304000192
-
dba Hy-Vee Pharmacy #2 (1631)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1649200841
O20040304000192
-
dba Hy-Vee Pharmacy #5 (1637)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1700816915
O20040304000192
-
dba Hy-Vee Pharmacy #4 (1633)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1720020142
O20040304000192
-
dba Hy-Vee Pharmacy (1871)
- Community/Retail Pharmacy
- Watertown, SD
- NPI 1760412985
O20040304000192
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 |
|---|---|---|---|
| 43D1079792 | Hy-Vee Pharmacy 1820 | Certificate of waiver | Feb 6, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hy-Vee Pharmacy #1820 | 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|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|N… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Hy-Vee Pharmacy 1530
Organizations with this tax ID in the same state 11
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Hy-Vee Pharmacy Fulfillment Center (4069)
- Community/Retail Pharmacy
- Sioux Falls, SD
- NPI 1407560329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1871523092",
"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": "525 W CHERRY ST",
"city": "VERMILLION",
"state": "SD",
"postal_code": "570691141",
"telephone_number": "605-624-9591",
"fax_number": "605-624-9593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"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": "SD",
"license": "100-1742",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SD",
"license": "100-1836",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0554329",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "4305149",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8502060",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy (1820)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy (1820)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Vermillion, SD
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.