Hy-Vee Pharmacy #2 (1614)

LBN: Hy-Vee Inc
Hy-Vee Pharmacy #2 (1614) is an health care organization with primary practice located at 4500 Sergeant Rd , Sioux City IA 51106-4705. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hy-Vee Inc can be contacted via phone (712) 274-2949, or through Nelson, Angie via phone (515) 267-2800.

Contact Information

Primary practice address
4500 Sergeant Rd Sioux City IA 51106-4705
Fax: (712) 274-8072
Website:
Authorized official contact:
Name: Nelson, Angie

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 967 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X 967 Iowa

Profile Details

NPI number 1134155781
LBN Legal business name Hy-Vee Inc
DBA Doing business as Hy-Vee Pharmacy #2 (1614)
Authorized official Nelson, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 4th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134155781 NPPES
Nebraska MEDICAID 10025190500
Nebraska Other 1617173
Nebraska MEDICAID 603683202
Nebraska MEDICAID 93856

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