Hy-Vee Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1000 Issued in IA

Legal business name

HY-VEE INC

Practice address

1300 W Burlington Ave
Fairfield, IA 52556-2766

Phone

(641) 472-3542

Fax

(641) 469-6201

NPI assigned

Jun 19, 2006

Organization subpart

No

Name

Angie Nelson

Title

Senior Vice President

Phone

(515) 267-2800

Organizations that report the same tax identification number in the National Provider Directory.

• Hy-Vee Care

  • Skilled Nursing Facility
  • Urbandale, IA
  • NPI 1922175611
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Emmetsburg, IA
  • NPI 1790240851
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Johnston, IA
  • NPI 1790711463
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Ankeny, IA
  • NPI 1790727311
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Lemars, IA
  • NPI 1811924962
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Bloomfield, IA
  • NPI 1811939119
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Durant, IA
  • NPI 1831669324
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Cedar Rapids, IA
  • NPI 1861422115
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Centerville, IA
  • NPI 1871529537
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Creston, IA
  • NPI 1881620060
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Pleasant Hill, IA
  • NPI 1881620276
  NPD tax ID
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Le Mars, IA
  • NPI 1881620912
  NPD tax ID

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Tax ID family

Drug Town 7060 (278 organizations share this tax ID)

• Hy-Vee Pharmacy (1180) Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2024.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1891730222",
    "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": "1300 W BURLINGTON AVE",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562766",
            "telephone_number": "641-472-3542",
            "fax_number": "641-469-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY-VEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "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": "IA",
            "license": "1000",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "1000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1618466",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149112",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hy-Vee Pharmacy (1180)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hy-Vee Pharmacy (1180)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Fairfield, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.