Active NPI
Hy-Vee Inc
Doing business as Hy-Vee Pharmacy #1 (1320)
- Community/Retail Pharmacy
- Kansas City, MO
National Provider Identifier
1952339954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6020
- Legal business name
- HY-VEE INC
- Doing business as
- Hy-Vee Pharmacy #1 (1320)
- Practice address
- 8301 N Saint Clair Ave
Kansas City, MO 64151-5101 - Phone
- (816) 505-1010
- Fax
- (816) 741-0582
- NPI assigned
- Jun 29, 2006
- 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 | 6020 | MO | |
| Community/Retail Pharmacy | 3336C0003X | 6020 | MO | Primary |
Addresses
Primary practice location
8301 N Saint Clair Ave
Kansas City, MO 64151-5101
Mailing address
PO Box 850442
Minneapolis, MN 55485-0442
Phone (515) 267-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2630730 | Other | MO | NCPDP |
| 608464509 | Medicaid | MO |
Other names 1
- Hy-Vee Pharmacy #1 (1320)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050301000077 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416855242 |
19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gladstone, MO; Warrensburg, MO; Trenton, MO; St Joseph, MO; Raytown, MO; Princeton, MO; Maryville, MO; Liberty, MO… |
| O20100930025256 | MO | DME Supplier - Pharmacy | 7416855242 | Practice locations: Kansas City, MO |
Other NPIs on the same Medicare enrollment 18
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hy-Vee Pharmacy #1 (1260)
- Community/Retail Pharmacy
- Independence, MO
- NPI 1053349050
O20050301000077
-
dba Hy-Vee Pharmacy (1034)
- Community/Retail Pharmacy
- Belton, MO
- NPI 1124058938
O20050301000077
-
dba Hy-Vee Pharmacy (1542)
- Community/Retail Pharmacy
- Raytown, MO
- NPI 1154358687
O20050301000077
-
dba Hy-vee Pharmacy (1406)
- Community/Retail Pharmacy
- Maryville, MO
- NPI 1164452801
O20050301000077
-
dba Hy-Vee Pharmacy #1 (1380)
- Community/Retail Pharmacy
- Lee's Summit, MO
- NPI 1205864295
O20050301000077
-
dba Hy-Vee Pharmacy (1552)
- Community/Retail Pharmacy
- Saint Joseph, MO
- NPI 1306876040
O20050301000077
-
dba Hy-Vee Pharmacy (1219)
- Community/Retail Pharmacy
- Gladstone, MO
- NPI 1336179159
O20050301000077
-
dba Hy-Vee Pharmacy (1036)
- Community/Retail Pharmacy
- Bethany, MO
- NPI 1356378293
O20050301000077
-
dba Hy-Vee Clinic Pharmacy (1036)
- Community/Retail Pharmacy
- Princeton, MO
- NPI 1417983503
O20050301000077
-
dba Hy-Vee Pharmacy (1007)
- Community/Retail Pharmacy
- Albany, MO
- NPI 1508331224
O20050301000077
-
dba Hy-Vee Pharmacy #2 (1261)
- Community/Retail Pharmacy
- Independence, MO
- NPI 1538194618
O20050301000077
-
dba Hy-Vee Pharmacy (1384)
- Community/Retail Pharmacy
- Liberty, MO
- NPI 1578590006
O20050301000077
National Provider Directory
National Provider Directory- Tax ID family
- Drug Town 7060
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.
-
dba Barry Road Hy-Vee Diabetes Education Program
- Community/Retail Pharmacy
- Kansas City, MO
- NPI 1912323692
Locations
8301 N Saint Clair Ave
Kansas City, MO 64151
Phone (816) 505-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1952339954",
"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": "8301 N SAINT CLAIR AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641515101",
"telephone_number": "816-505-1010",
"fax_number": "816-741-0582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HY-VEE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"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": "MO",
"license": "6020",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "6020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2630730",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "608464509",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hy-Vee Pharmacy #1 (1320)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hy-Vee Pharmacy #1 (1320)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kansas City, MO
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.