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HY-VEE PHARMACY (1183)
NPI 1285906628
Pharmacy - Community/Retail Pharmacy in Fairmont, MN

Active since February 01, 2012CLIA 24D2037651 · Waiver
907 S STATE ST, FAIRMONT, MN 56031(507) 238-2880(507) 238-2895 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 28, 2022, Sep 15, 2021 and 4 more (7 updates tracked since 2017).

About Hy-vee Pharmacy (1183) NPPES

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

HY-VEE PHARMACY (1183) (NPI 1285906628) is a healthcare organization registered as a community/retail pharmacy in Fairmont, Minnesota and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Angie Nelson, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1285906628
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHY-VEE INC
Location Address907 S STATE STFairmont, MN 56031-4441
Mailing AddressPo Box 850442Minneapolis, MN 55485-0442 · (515) 267-2800 · Fax (515) 559-2593
Phone(507) 238-2880
Fax(507) 238-2895
Organization SubpartNo
Authorized OfficialAngie NelsonSenior Vice President · (515) 267-2800
Enumeration DateFebruary 1, 2012
Last NPPES UpdateOctober 4, 20237 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1285906628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 263836
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.
907 S STATE ST, Fairmont, MN 56031
Open in Google Maps ↗

Other Names 1

Doing Business AsHy-vee Pharmacy (1183)

Other Identifiers 2

Medicaid1285906628MN
Medicaid1285906628IA

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 24D2037651

Hy-Vee Pharmacy 1183 · Fairmont, MN
Active · expires Jan 6, 2027
CLIA Number24D2037651
Laboratory TypePharmacy
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorBrandon Shulfer
Laboratory Phone(507) 238-2880
Laboratory LocationHy-Vee Pharmacy 1183907 South State St, Fairmont, MN 56031
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
803 services795 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.
753 services753 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.
25 services25 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
22 services22 patients

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Hy-Vee Pharmacy (1183) carries, from the Medicare DMEPOS supplier directory.

Hy-Vee Pharmacy (1183)

DMEPOS supplier · Fairmont, MNOperated by Hy-Vee Inc
⋮

Does not accept Medicare assignment

Hy-Vee Pharmacy (1183) has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20458457
Medicare Participant SinceDecember 7, 2017
Supplier Location907 S State StFairmont, MN 56031
Phone(507) 238-2880
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

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

LINDSAY ANN DALLUGE R.D., L.D.
Dietitian, Registered
907 S STATE ST
FAIRMONT, MN 56031
Martin County (507) 238-4323
KELLY COWELL
Pharmacist
907 S STATE ST
FAIRMONT, MN 56031
Martin County (507) 238-2880
MICHELE NELSON RPH
Pharmacist
907 S STATE ST
FAIRMONT, MN 56031
Martin County (507) 238-2880
JACOB WEAVER PHARM D
Pharmacist
907 S STATE ST
FAIRMONT, MN 56031
Martin County (507) 238-2880

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 1285906628. It was assigned to this organization in the NPPES registry on February 1, 2012. The provider is doing business as Hy-Vee Pharmacy (1183).

Where is Hy-Vee Inc located?

Hy-Vee Inc is located at 907 S State St, Fairmont, MN 56031. The listed phone number is (507) 238-2880.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Hy-Vee Pharmacy (1183) does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Hy-Vee Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2037651) is associated with this NPI, valid through January 6, 2027. 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 49 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.