NPIMap

Organization Active NPI

Hy-Vee Inc

Doing business as Hy-Vee Pharmacy(1892)

  • Community/Retail Pharmacy
  • Windom, MN
National Provider Identifier
1942775663
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HY-VEE INC
Doing business as
Hy-Vee Pharmacy(1892)
Practice address
192 10TH St
Windom, MN 56101-1559
Phone
(507) 832-8230
Fax
(507) 832-8231
NPI assigned
Oct 9, 2018
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

192 10TH St
Windom, MN 56101-1559

Mailing address

PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 453-2796

Other names 1

  • Hy-Vee Pharmacy(1892) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040701000521 MN Part B Supplier - Mass Immunization (Roster Biller Only) 7416855242 44 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plymouth, MN; Preston, MN; Robbinsdale, MN; Rochester, MN; Saint Charles, MN; Saint Peter, MN; Savage, MN; Shakopee, MN…
O20190131003116 MN DME Supplier - Pharmacy 7416855242 Practice locations: Windom, MN

Other NPIs on the same Medicare enrollment 42

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

View all 42

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2099453Windom Hy-Vee#1892192 10TH Street, Windom, MN 56101Certificate of waiverJul 27, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hy-Vee Pharmacy (1892)192 10TH St, Windom, MN 56101-1559(507) 832-8230 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 assignmentParticipating since Dec 7, 2017

National Provider Directory

National Provider Directory
Tax ID family
Hy-Vee Pharmacy 1530278 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #1 (1547)

    • Community/Retail Pharmacy
    • Rochester, MN
    • NPI 1679502231
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1462)

    • Community/Retail Pharmacy
    • Oakdale, MN
    • NPI 1689040453
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1440)

    • Community/Retail Pharmacy
    • New Prague, MN
    • NPI 1700456977
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1643)

    • Community/Retail Pharmacy
    • Spring Lake Park, MN
    • NPI 1720662182
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1896)

    • Community/Retail Pharmacy
    • Winona, MN
    • NPI 1740216902
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee HealthMarket Rx (7078)

    • Community/Retail Pharmacy
    • Stewartville, MN
    • NPI 1750849220
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee HealthMarket Rx (7077)

    • Community/Retail Pharmacy
    • Spring Valley, MN
    • NPI 1760940233
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy #4 (1556)

    • Community/Retail Pharmacy
    • Rochester, MN
    • NPI 1821468299
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (1356)

    • Community/Retail Pharmacy
    • Lakeville, MN
    • NPI 1851746986
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy (7079)

    • Community/Retail Pharmacy
    • Saint Peter, MN
    • NPI 1851856918
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee Pharmacy Fulfillment Center (4044)

    • Community/Retail Pharmacy
    • Eagan, MN
    • NPI 1861135725
    NPD tax ID
  • Hy-Vee Inc

    dba Hy-Vee HealthMarket Rx (7068)

    • Community/Retail Pharmacy
    • Plainview, MN
    • NPI 1942768403
    NPD tax ID
View all 13

Locations

192 10th St
Windom, MN 56101
Phone (507) 832-8230

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1942775663",
    "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": "515-453-2796",
            "fax_number": "515-559-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 10TH ST",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011559",
            "telephone_number": "507-832-8230",
            "fax_number": "507-832-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HY-VEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hy-Vee Pharmacy(1892)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hy-Vee Pharmacy(1892)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windom, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.