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HY-VEE PHARMACY (1872)
NPI 1548296122
Pharmacy - Community/Retail Pharmacy in Waverly, IA

Active since June 24, 2006CLIA 16D1074092 · Waiver
1311 4TH ST SW, WAVERLY, IA 50677(319) 352-2021(319) 352-4815 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Sep 29, 2022, Sep 21, 2021 and 3 more (6 updates tracked since 2017).

About Hy-vee Pharmacy (1872) NPPES

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

HY-VEE PHARMACY (1872) (NPI 1548296122) is a healthcare organization registered as a community/retail pharmacy in Waverly, Iowa and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Angie Nelson, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1548296122
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHY-VEE INC
Location Address1311 4TH ST SWWaverly, IA 50677-4324
Mailing AddressPo Box 850442Minneapolis, MN 55485-0442 · (515) 267-2800 · Fax (515) 559-2593
Phone(319) 352-2021
Fax(319) 352-4815
Organization SubpartNo
Authorized OfficialAngie NelsonSenior Vice President · (515) 267-2800
Enumeration DateJune 24, 2006
Last NPPES UpdateApril 25, 20236 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
✔ NPI 1548296122 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 · 1265
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 1265 (IA)
1311 4TH ST SW, Waverly, IA 50677
Open in Google Maps ↗

Other Names 1

Doing Business AsHy-vee Pharmacy (1872)

Other Identifiers 3

Medicaid0452391IA
OtherI0232IA · Medicare Flu
Other1622237IA · 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 16D1074092

Hy-Vee Pharmacy #1872 · Waverly, IA
Active · expires Sep 23, 2027
CLIA Number16D1074092
Laboratory TypePharmacy
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorSamantha Folken
Laboratory Phone(515) 559-5708
Laboratory LocationHy-Vee Pharmacy #18721311 4th Street SW, Waverly, IA 50677
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.
827 services823 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.
813 services813 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Hy-Vee Pharmacy 1872 carries, from the Medicare DMEPOS supplier directory.

Hy-Vee Pharmacy 1872

DMEPOS supplier · Waverly, IAOperated by Hy-Vee Inc
⋮

Does not accept Medicare assignment

Hy-Vee Pharmacy 1872 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)20457623
Medicare Participant SinceDecember 7, 2017
Supplier Location1311 4th St SWWaverly, IA 50677
Phone(319) 352-2021
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 5

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

KRISTINA NIKL
Pharmacist
1311 4TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2021
CHRISTINE SEXTON
Dietitian, Registered
1311 4TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-1365
SABRINA K HAYES RPH
Pharmacist
1311 4TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2021
SAMANTHA FOLKEN PHARM.D.
Pharmacist
1311 4TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2021
MR. STEVEN F REINTS RPH
Pharmacist (Pharmacotherapy)
1311 4TH ST SW
WAVERLY, IA 50677
Bremer County (319) 352-2021

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 1548296122. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Hy-Vee Pharmacy (1872).

Where is Hy-Vee Inc located?

Hy-Vee Inc is located at 1311 4th St SW, Waverly, IA 50677. The listed phone number is (319) 352-2021.

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 1872 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 16D1074092) is associated with this NPI, valid through September 23, 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 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.