Hy-Vee Pharmacy #3 (1288) – Community/Retail Pharmacy, NPI 1487683728
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Hy-Vee Pharmacy #3 (1288)
PO BOX 310442
DES MOINES, IA 503310442
Phone: (515) 267-2800
Fax: (515) 559-2593
Type: Mailing
PO BOX 850442
MINNEAPOLIS, MN 554850442
Phone: (515) 267-2800
Fax: (515) 559-2593
Type: Mailing
Hy-Vee, 1125, North Dodge Street, Iowa City, Johnson County, Iowa, 52245, United States
IOWA CITY, IA 522456102
Phone: (319) 337-6310
Fax: (319) 337-2037
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (137 days away).
Enrollment records
1
Earliest due date
2026-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930050615 | O | Pharmacy | IA | 2026-10-31 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1,204 | 140 | $0 |
| G0008 | Administration of influenza virus vaccine | 461 | 460 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 451 | 451 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 362 | 362 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 271 | 271 | $0 |
Insurance plans in this area (ZIP 50331)
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