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NPI Code Detail

MEDICARE: HY-VEE INC

MEDICARE: HY-VEE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy39IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21614951OTHERIANCPDP

General Provider Information

NPI Number : 1245275007
Entity Type Code : Organization
Provider Name (Legal Business Name) : HY-VEE INC
Provider Business Mailing Address
First Line : PO BOX 850442
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55485-0442
Country : US
Telephone Number : 515-267-2800
Fax Number : 515-559-2593
Provider Business Practice Location Address
First Line : 4825 JOHNSON AVE NW
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52405-4207
Country : US
Telephone Number : 319-396-7419
Fax Number : 319-396-5916
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : ANGIE NELSON
Credential :
Telephone Number : 515-267-2800
Provider Enumeration Date : 06/17/2006
Last Update Date : 03/11/2025

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