Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1170)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1221 CENTRAL AVE, ESTHERVILLE, IA 51334-2432
(712) 362-5551
(712) 362-5555
Mailing address
PO BOX 850442, MINNEAPOLIS, MN 55485-0442
(515) 267-2800
(515) 559-2593
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
167
IA
3336C0003X
Community/Retail Pharmacy
Primary
167
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079228
—
IA
05
—
100251904-00
—
NE
05
—
100433400B
—
KS
01
—
1602158
NCPDP
IA
05
—
200506460 A
—
IN
05
—
250258500
—
MN
05
—
606169100
—
MO
05
—
62754015
—
CO
05
—
808214300
—
ID
05
—
8531880
—
SD
Enumeration date
06/25/2006
Last updated
08/18/2025
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