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Export Provider Record NPI 1083650964
Hy-Vee Inc
Organization Subpart: NO
Active
NPI Number1083650964
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1083650964
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-06-21
Last Updated2023-02-09
Authorized OfficialAngie Nelson
Senior Vice President
Phone: 5152672800
Mailing AddressPo Box 850442
Minneapolis, MN 55485-0442
United States
Phone: (515) 267-2800 | Fax: (515) 559-2593
📍 View Map
Primary Practice Address2501 Cornhusker Dr
South Sioux City, NE 68776-3910
United States
Phone: (402) 494-3021 | Fax: (402) 494-4969
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDIA0543124
MEDICAIDSD8531670
MEDICAIDNE=========
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical SuppliesNE2520
Yes3336C0003X – Pharmacy, Community/Retail PharmacyNE2520
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About NPI 1083650964

Hy-Vee Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083650964. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in South Sioux City, NE. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083650964?

NPI 1083650964 belongs to Hy-Vee Inc, a Pharmacy, Community/Retail Pharmacy in South Sioux City, NE. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083650964 active?

The current status of NPI 1083650964 in the NPPES registry is Active. The record was last updated on 2023-02-09.

What specialty is NPI 1083650964?

NPI 1083650964 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083650964?

You can verify NPI 1083650964 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083650964?

The primary practice address on file for NPI 1083650964 is 2501 Cornhusker Dr, South Sioux City, NE 68776-3910. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083650964 issued?

NPI 1083650964 was first issued (enumerated) on 2006-06-21. The NPPES record was last updated on 2023-02-09.

Practice Location Map

Hy-Vee Inc is located at 2501 Cornhusker Dr, South Sioux City, NE. Use the map below to find directions or verify the practice location.

📍 2501 Cornhusker Dr, South Sioux City, NE 68776-3910  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Hy-Vee Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083650964. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Durable Medical Equipment & Medical Supplies2520NE
Pharmacy, Community/Retail Pharmacy2520NE
Data Verified from CMS NPPES Last synced: 2026-06-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162