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HY-VEE PHARMACY (1542)
NPI 1154358687
Pharmacy - Community/Retail Pharmacy in Raytown, MO

Active since June 28, 2006CLIA 26D1101232 · Waiver
9400 E 350, RAYTOWN, MO 64133(816) 358-5988(816) 358-6885 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2023, Sep 29, 2022, Sep 20, 2021 and 5 more (8 updates tracked since 2017).

About Hy-vee Pharmacy (1542) NPPES

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

HY-VEE PHARMACY (1542) (NPI 1154358687) is a healthcare organization registered as a community/retail pharmacy in Raytown, Missouri and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Angie Nelson, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1154358687
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHY-VEE INC
Location Address9400 E 350Raytown, MO 64133-6509
Mailing AddressPo Box 850442Minneapolis, MN 55485-0442 · (515) 267-2800 · Fax (515) 559-2593
Phone(816) 358-5988
Fax(816) 358-6885
Organization SubpartNo
Authorized OfficialAngie NelsonSenior Vice President · (515) 267-2800
Enumeration DateJune 28, 2006
Last NPPES UpdateOctober 4, 20238 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1154358687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 4939
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 4939 (MO)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
9400 E 350, Raytown, MO 64133
Open in Google Maps ↗

Other Names 1

Doing Business AsHy-vee Pharmacy (1542)

Other Identifiers 2

Medicaid602592404MO
Other2625525MO · 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 26D1101232

Hy-Vee Pharmacy (1542) · Raytown, MO
Active · expires Jul 22, 2028
CLIA Number26D1101232
Laboratory TypePharmacy
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorBrittany R. Sage
Laboratory Phone(515) 559-5708
Laboratory LocationHy-Vee Pharmacy (1542)9400 E 350 Highway, Raytown, MO 64133
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
298 services293 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.
275 services275 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
11 services11 patients

Other Providers at the Same Location NPPES 10

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

THOMAS GANNON PHARMD
Pharmacist
9400 E 350
RAYTOWN, MO 64133
Jackson County (816) 358-5988
ALLISON ALLSBURY FNP
Nurse Practitioner (Family)
9400 E 350
RAYTOWN, MO 64133
Jackson County (816) 251-5700
GRACE C. GAMMON ARNP
Nurse Practitioner (Family)
9400 E 350
RAYTOWN, MO 64133
Jackson County (816) 251-5700
MRS. JAMIE GUDENKAUF FNP
Nurse Practitioner (Family)
9400 E 350
RAYTOWN, MO 64133
Jackson County (816) 251-5700
ANNA DILLON RDN, LD
Dietitian, Registered
9400 E 350
RAYTOWN, MO 64133
Jackson County (816) 358-9940
TEEQUA KNAPP R.D., L.D.,
Dietitian, Registered
9400 E 350
RAYTOWN, MO 64133
Jackson County (816) 358-9940
AARON NELSON SMITH RD
Dietitian, Registered
9400 E 350
RAYTOWN, MO 64133
Jackson County (816) 358-9940
KEVIN RUSE
Pharmacist
9400 E 350
RAYTOWN, MO 64133
Jackson County (816) 358-5988

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hy-Vee Inc's NPI number?

The NPI number for Hy-Vee Inc is 1154358687. It was assigned to this organization in the NPPES registry on June 28, 2006. The provider is doing business as Hy-Vee Pharmacy (1542).

Where is Hy-Vee Inc located?

Hy-Vee Inc is located at 9400 E 350, Raytown, MO 64133. The listed phone number is (816) 358-5988.

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.

Does Hy-Vee Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1101232) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hy-Vee Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Hy-Vee Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hy-Vee Inc was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.