HY-VEE PHARMACY (1416)
NPI 1346279130
Pharmacy - Community/Retail Pharmacy in Moline, IL

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

The NPI number for Hy-Vee Inc is 1346279130. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider is doing business as Hy-Vee Pharmacy (1416).

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 October 3, 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.

Active since July 02, 2006CLIA 14D0992461 · Waiver

4218 AVENUE OF THE CITIES, MOLINE, IL 61265(309) 764-4373(309) 764-4593 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Sep 29, 2022, Oct 1, 2021 and 5 more (8 updates tracked since 2017).

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About Hy-vee Pharmacy (1416) NPPES

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

HY-VEE PHARMACY (1416) (NPI 1346279130) is a healthcare organization registered as a community/retail pharmacy in Moline, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Angie Nelson, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1346279130

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHY-VEE INC

Location Address4218 AVENUE OF THE CITIESMoline, IL 61265-4544

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

Phone(309) 764-4373

Fax(309) 764-4593

Organization SubpartNo

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

Enumeration DateJuly 2, 2006

Last NPPES UpdateOctober 3, 20238 updates tracked since enumeration

NPPES CertifiedOctober 3, 2023

✔ NPI 1346279130 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 IL · 54-014528

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 54014528 (IL)

4218 AVENUE OF THE CITIES, Moline, IL 61265

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Other Names 1

Doing Business AsHy-vee Pharmacy (1416)

Other Identifiers 2

Medicaid0538728IA

Other1473533IL · 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 14D0992461

Hy-Vee Pharmacy 1416 · Moline, IL

Active · expires Oct 16, 2027

CLIA Number14D0992461

Laboratory TypePharmacy

Certificate Effective DateOctober 17, 2025

Certificate Expiration DateOctober 16, 2027

Laboratory DirectorCarissa Bull Pharmd

Laboratory Phone(309) 762-0200

Laboratory LocationHy-Vee Pharmacy 14164218 Avenue Of The Cities, Moline, IL 61265

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.

460 services457 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.

438 services438 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.

19 services19 patients

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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.

VERONICA SKARADZINSKI MS, RDN, LDN

Dietitian, Registered