Organization
HY-VEE INC
Active
Other names
Hy-Vee Pharmacy (1036)
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE NELSON (SENIOR VICE PRESIDENT)
(515) 267-2800
Entity
Organization
Contact information
Practice address
1104 S 25TH ST, BETHANY, MO 64424-2612
(660) 425-8171
(660) 425-8161
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
2001032650
MO
3336C0003X
Community/Retail Pharmacy
Primary
2001032650
MO
3336L0003X
Long Term Care Pharmacy
2001032650
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2634310
NCPDP
MO
05
—
605680800
—
MO
05
—
625680806
—
MO
Enumeration date
06/27/2006
Last updated
05/12/2026
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