Hy-Vee Pharmacy (1303)

LBN: Hy-Vee Inc
Hy-Vee Pharmacy (1303) is an health care organization with primary practice located at 3721 W Truman Blvd , Jefferson City MO 65109-0536. 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 (573) 634-2628, or through Nelson, Angie via phone (515) 267-2800.

Contact Information

Primary practice address
3721 W Truman Blvd Jefferson City MO 65109-0536
Fax: (573) 635-1768
Website:
Authorized official contact:
Name: Nelson, Angie

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2007028956 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X PENDING Missouri

Profile Details

NPI number 1699968750
LBN Legal business name Hy-Vee Inc
DBA Doing business as Hy-Vee Pharmacy (1303)
Authorized official Nelson, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2007
Last updated Feb 9th, 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 1699968750 NPPES
Missouri Other 26-37621 NCPDP
Missouri MEDICAID 606337806 NCPDP

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