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HY VEE INC NPI 1003852518


NPI Information

NPI: 1003852518
Provider Name: HY VEE INC

Doing Business As: HY-VEE PHARMACY #2 (1106)

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 16D1077846

Address:
2200 W KIMBERLY RD
DAVENPORT, IA
ZIP 52806
Phone: (563) 391-1543
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HY VEE INC is a community/retail pharmacy pharmacy in Davenport, IA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HY VEE INC NPI is 1003852518. The provider is registered as an organization entity type.
The provider Is Doing Business As Hy-vee Pharmacy #2 (1106).

The provider's business location address is:

2200 W KIMBERLY RD
DAVENPORT, IA
ZIP 52806-300
Phone: (563) 391-1543
Fax: (563) 391-9117

The provider's authorized official is Angie Nelson .
The authorized official title is Senior Vice President and has the following contact phone number (515) 267-2800.

The CLIA number assigned to this NPI record is 16D1077846 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 9/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies363IOWANo
23336C0003XPharmacyCommunity/Retail Pharmacy363IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11615446OTHERIOWANCPDP
20047746MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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