SUPERVALU PHARMACIES INC


Address: 3620 Texas Ave S, St Louis Park, MN 55426-4057
Phone: 9529333177

SUPERVALU PHARMACIES INC (NPI# 1740395888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740395888
Entity Type Organization
Organization Name SUPERVALU PHARMACIES INC
Other Organization Name CUB PHARMACY
Practice Address 3620 Texas Ave S
St Louis Park
MN 55426-4057
Mailing Address 11840 Valley View Rd
Attn: Managed Care Pharmacy Dept.
Eden Prairie
MN 55344-3643
Practice Telephone 9529333177
Practice Fax Number 9529334187
Mailing Telephone 9528284588
Mailing Fax Number 9529473470
Enumeration Date 2006-08-20
Last Update Date 2016-10-03
Authorized Official Name AARON SAPP (DIRECTOR OF PHARMACY SERVICES)
Authorized Official Telephone 9528284026
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
261679 MN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MN 687224700 05
PK 2048078 01

Other Provider/Organization Names

Other Name Type Code
CUB PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942831839 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 4601 Snelling Ave, Minneapolis, MN 55406-4464 2020-01-29
1235681958 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 10881 University Ave Ne, Blaine, MN 55434 2016-10-28
1740635770 Supervalu Pharmacies Inc Pharmacy 421 3rd St S, Stillwater, MN 55082-4955 2016-04-27
1851761514 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1920 Buerkle Rd, White Bear Lake, MN 55110 2015-10-06
1841685591 Supervalu Pharmacies Inc Pharmacy 2612 S Broadway St, Alexandria, MN 56308-3415 2015-03-31
1992946446 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 10520 France Ave S, Bloomington, MN 55431-3573 2009-03-13
1336397298 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1177 Clarence St, Saint Paul, MN 55106-2809 2008-09-04
1598912560 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1020 Diffley Rd, Eagan, MN 55123-1777 2008-08-21
1104005578 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 4201 N Belt W, Belleville, IL 62226-5613 2007-11-01
1952580334 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 196 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8008 2007-11-01

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities SUPERVALU Pharmacies Inc. 11840 Valley View Rd, Eden Prairie, Minnesota 55344

Office Location

Street Address 3620 TEXAS AVE S
City ST LOUIS PARK
State MN
Zip Code 55426-4057

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619981818 Jennifer Riss Pharmacist 3620 Texas Ave S, St Louis Park, MN 55426-4039 2006-07-27
1053880666 Cassandra Lewis Pharmacist 3620 Texas Ave S, St Louis Park, MN 55426-4057 2018-11-13
1003335852 Martha Elizabeth So Huerta Pharmacist 3620 Texas Ave S, St Louis Park, MN 55426-4057 2017-09-13
1528511839 Brandi Marie Gossard Pharmacist 3620 Texas Ave S, St Louis Park, MN 55426-4057 2016-08-03
1205216033 Crosby Nils Tindal Pharmacist 3620 Texas Ave S, St Louis Park, MN 55426 2015-06-07
1578810156 Travis Joseph Gau Pharmacist 3620 Texas Ave S, St Louis Park, MN 55426-4057 2012-08-13
1376775064 Marissa L Mccluskey Pharmacist 3620 Texas Ave S, St Louis Park, MN 55426-4057 2009-08-14
1841482957 Rebecca Karg Pharmacist 3620 Texas Ave S, St Louis Park, MN 55426-4039 2007-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821657545 Big Brain Concussion Recovery & Chiropractic Pa Chiropractor 3313 Republic Ave., St. Louis Park, MN 55426 2019-06-06
1912485095 Daniel Raies Optometrist 8900 Minnesota 7, St Louis Park, MN 55426 2018-08-01
1649756040 Wayside House, Inc. Clinic/Center 1349 Jersey Ave S, St. Louis Park, MN 55426 2018-07-18
1104302884 Superior Caregivers, LLC In Home Supportive Care 1319 Lancaster Ave., St. Louis Park, MN 55426 2018-07-16
1396234266 Caitlin Kwiatkowski Behavior Technician 7010 Mn-7, St.louis Park, MN 55426 2018-05-07
1497244313 Kelly Ann Clancey Behavior Technician 7010 Highway 2, Saint Louis Park, MN 55426 2018-05-07
1770072696 Ashleigh Hakala Behavior Technician 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 2018-05-07
1689181521 Glenda Miles Registered Nurse 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 2017-12-31
1174041875 Kristen Webb Physician Assistant 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 2017-09-01
1447775549 Belinda Sue Bliss Marriage & Family Therapist 3301 Decatur Lane, Saint Louis Park, MN 55426 2017-08-09
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073740635 Rbf LLC Pharmacy 5370 16th Ave, St Louis Park, MN 55416 2009-06-22
1659481273 Costco Wholesale Corporation Pharmacy 5801 W 16th St, St Louis Park, MN 55416 2006-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497368633 Sawtooth Mountain Clinic, Inc. Pharmacy 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 2020-08-27
1891313326 Rochester Community Pharmacy LLC Pharmacy 1604 1st St Nw, Rochester, MN 55901-0318 2020-07-10
1134745730 Elko New Market Family Pharmacy, LLC Pharmacy 117 Old Town Road, Elko New Market, MN 55054 2020-06-19
1578187456 Coborns Inc Pharmacy 15700 88th St Ne, Otsego, MN 55330 2020-06-05
1205460169 Genoa Healthcare, LLC Pharmacy 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 2020-02-28
1801438361 The Duluth Clinic, Ltd. Pharmacy 2 Division St Ste A, Deer River, MN 56636-8779 2019-10-16
1265084792 Nudak Ventures, LLC Pharmacy 5418 Saint Croix Trl, North Branch, MN 55056-4203 2019-07-15
1659938116 Sterlingrx Inc Pharmacy 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 2019-05-21
1639734346 Seward Pharmacy LLC Pharmacy 2209 E Lake St, Minneapolis, MN 55407-4563 2019-05-08
1093370694 Minnesota Ave N Pharmacy Services Limited Pharmacy 226 Minnesota Ave N, Aitkin, MN 56431-1412 2019-05-08
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Competitor

Search similar providers

City ST LOUIS PARK
Zip Code 55426

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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