HY-VEE PHARMACY #1 (1393)
NPI 1316976087
Pharmacy - Community/Retail Pharmacy in Mankato, MN

Active since July 02, 2006CLIA 24D1078043 · Waiver
410 S RIVERFRONT DR, MANKATO, MN 56001(507) 345-5091(507) 345-3637 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2023, Mar 6, 2023, Sep 29, 2022 and 6 more (9 updates tracked since 2017).

About Hy-vee Pharmacy #1 (1393) NPPES

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

HY-VEE PHARMACY #1 (1393) (NPI 1316976087) is a healthcare organization registered as a community/retail pharmacy in Mankato, Minnesota and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 26, 2027 and lists Angie Nelson, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1316976087
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHY-VEE INC
Location Address410 S RIVERFRONT DRMankato, MN 56001-3773
Mailing AddressPo Box 850442Minneapolis, MN 55485-0442 · (515) 267-2800 · Fax (515) 559-2593
Fax(507) 345-3637
Organization SubpartNo
Authorized OfficialAngie NelsonSenior Vice President · (515) 267-2800
Enumeration DateJuly 2, 2006
Last NPPES UpdateMarch 21, 20249 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
NPI 1316976087 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 MN · 261932-1
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 2619321 (MN)
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 2619321 (MN)
410 S RIVERFRONT DR, Mankato, MN 56001

Other Names 1

Doing Business AsHy-vee Pharmacy #1 (1393)

Other Identifiers 2

Other2423818MN · Ncpdp
Medicaid320450200MN

Accepted 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 24D1078043

Hy-Vee Pharmacy #1393 · Mankato, MN
Active · expires Dec 26, 2027
CLIA Number24D1078043
Laboratory TypePharmacy
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorAmelia Volgarino
Laboratory Phone(507) 345-5091
Laboratory LocationHy-Vee Pharmacy #1393410 South Riverfront Drive, Mankato, MN 56001
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 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.
222 services220 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.
206 services206 patients

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Hy-Vee Pharmacy #1(1393) carries, from the Medicare DMEPOS supplier directory.

Hy-Vee Pharmacy #1(1393)

DMEPOS supplier · Mankato, MNOperated by Hy-Vee Inc

Does not accept Medicare assignment

Hy-Vee Pharmacy #1(1393) 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)20458307
Medicare Participant SinceDecember 7, 2017
Supplier Location410 S Riverfront DrMankato, MN 56001
Supplier Specialties
Pharmacy Grocery Store

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

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

Pharmacist
410 S RIVERFRONT DR
MANKATO, MN 56001

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 1316976087. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Hy-Vee Pharmacy #1 (1393).

Where is Hy-Vee Inc located?

Hy-Vee Inc is located at 410 S Riverfront Dr, Mankato, MN 56001. The listed phone number is (507) 345-5091.

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 #1(1393) 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 24D1078043) is associated with this NPI, valid through December 26, 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 March 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.