HY-VEE PHARMACY #3 (1615)
NPI 1063448587
Pharmacy - Community/Retail Pharmacy in Sioux City, IA

Q: What is Hy-Vee Inc's NPI number?

The NPI number for Hy-Vee Inc is 1063448587. It was assigned to this organization in the NPPES registry on June 25, 2006. The provider is doing business as Hy-Vee Pharmacy #3 (1615).

Q: What is Hy-Vee Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Hy-Vee Inc was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2006CLIA 16D1008962 · Waiver

3301 GORDON DR, SIOUX CITY, IA 51105(712) 234-1949(712) 255-8087 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2022, Sep 21, 2021, Oct 11, 2019 and 2 more (5 updates tracked since 2017).

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About Hy-vee Pharmacy #3 (1615) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HY-VEE PHARMACY #3 (1615) (NPI 1063448587) is a healthcare organization registered as a community/retail pharmacy in Sioux City, Iowa and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Angie Nelson, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1063448587

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHY-VEE INC

Location Address3301 GORDON DRSioux City, IA 51105-3708

Mailing AddressPo Box 850442Minneapolis, MN 55485-0442 · (515) 267-2800 · Fax (515) 559-2593

Phone(712) 234-1949

Fax(712) 255-8087

Organization SubpartNo

Authorized OfficialAngie NelsonSenior Vice President · (515) 267-2800

Enumeration DateJune 25, 2006

Last NPPES UpdateApril 25, 20235 updates tracked since enumeration

NPPES CertifiedApril 25, 2023

✔ NPI 1063448587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in IA · 1050

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 1050 (IA)

3301 GORDON DR, Sioux City, IA 51105

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Other Names 1

Doing Business AsHy-vee Pharmacy #3 (1615)

Other Identifiers 3

Medicaid176255IA

Medicaid8531840SD

Other1619189IA · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D1008962

Hy-Vee Pharmacy #3 - 1615 · Sioux City, IA

Active · expires Feb 2, 2027

CLIA Number16D1008962

Laboratory TypePharmacy

Certificate Effective DateFebruary 3, 2025

Certificate Expiration DateFebruary 2, 2027

Laboratory DirectorAshley Engle

Laboratory Phone(712) 234-1949

Laboratory LocationHy-Vee Pharmacy #3 - 16153301 East Gordon Drive, Sioux City, IA 51105

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

340 services338 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

326 services326 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HY-VEE INC

Pharmacy (Community/Retail Pharmacy)