Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy #1 (1377)
- Community/Retail Pharmacy
- Lawrence, KS
National Provider Identifier
1902841687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8361
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy #1 (1377)
- Practice address
- 3504 Clinton Pkwy
Lawrence, KS 66047-2145 - Phone
- (785) 832-0110
- Fax
- (785) 832-0516
- NPI assigned
- Jun 18, 2006
- Last updated
- Aug 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 208556 | KS | |
| Community/Retail Pharmacy | 3336C0003X | 8361 | KS | Primary |
Addresses
Primary practice location
3504 Clinton Pkwy
Lawrence, KS 66047-2145
Mailing address
PO Box 310442
Des Moines, IA 50331-0442
Phone (515) 267-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100433460B | Medicaid | KS | |
| 100433460A | Medicaid | KS | |
| 1715676 | Other | KS | NCPDP |
Other names 1
- Hy-Vee Pharmacy #1 (1377)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050712001041 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
13 other NPIs on this enrollment Practice locations: Overland Park, KS; Topeka, KS; Shawnee, KS; Prairie Village, KS; Olathe, KS; Mission, KS; Manhattan, KS; Lenexa, KS… |
| O20100930037837 | KS | DME Supplier - Pharmacy | 7416855242 | Practice locations: Lawrence, KS |
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 (1532)
- Community/Retail Pharmacy
- Prairie Village, KS
- NPI 1225066384
O20050712001041
-
dba Hy-Vee Pharmacy #1 (1560)
- Community/Retail Pharmacy
- Shawnee, KS
- NPI 1235165812
O20050712001041
-
dba Hy-Vee Pharmacy #1 (1508)
- Community/Retail Pharmacy
- Overland Park, KS
- NPI 1255367835
O20050712001041
-
dba Hy-Vee Pharmacy #3 (1510)
- Community/Retail Pharmacy
- Overland Park, KS
- NPI 1326083965
O20050712001041
-
dba Hy-Vee Pharmacy (1463)
- Community/Retail Pharmacy
- Olathe, KS
- NPI 1356377931
O20050712001041
-
dba Hy-Vee Pharmacy #2 (1509)
- Community/Retail Pharmacy
- Overland Park, KS
- NPI 1427093061
O20050712001041
-
dba Hy-Vee Pharmacy #2 (1658)
- Community/Retail Pharmacy
- Topeka, KS
- NPI 1487825683
O20050712001041
-
dba Hy-Vee Pharmacy (1398)
- Community/Retail Pharmacy
- Manhattan, KS
- NPI 1528297074
O20050712001041
-
dba Hy-Vee Pharmacy #2 (1464)
- Community/Retail Pharmacy
- Olathe, KS
- NPI 1841218864
O20050712001041
-
dba Hy-Vee Pharmacy 1383
- Community/Retail Pharmacy
- Lenexa, KS
- NPI 1912500356
O20050712001041
-
dba Hy-Vee Pharmacy (1422)
- Community/Retail Pharmacy
- Mission, KS
- NPI 1982649661
O20050712001041
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hy Vee Pharmacy #1377 | 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|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/o… | 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 10
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": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693267200000",
"number": "1902841687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310442",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503310442",
"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": "3504 CLINTON PKWY",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472145",
"telephone_number": "785-832-0110",
"fax_number": "785-832-0516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"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": "208556",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KS",
"license": "8361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100433460B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100433460A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1715676",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy #1 (1377)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy #1 (1377)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.