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SUPERVALU PHARMACIES INC.
NPI 1093517914
Pharmacy - Community/Retail Pharmacy in Burnsville, MN

Active since March 24, 2025CLIA 24D2321649 · Waiver
1750 COUNTY ROAD 42 W, BURNSVILLE, MN 55337(952) 800-0988 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supervalu Pharmacies Inc. NPPES

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

SUPERVALU PHARMACIES INC. (NPI 1093517914), doing business as Cub Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Burnsville, Minnesota and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through April 7, 2027 and lists Jessica O'connell, Sr Manager Managed Care, as its authorized official.

NPPES Registry Identity

NPI1093517914
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPERVALU PHARMACIES INC.
Location Address1750 COUNTY ROAD 42 WBurnsville, MN 55337-6200
Mailing Address421 3rd St SStillwater, MN 55082-4955 · (651) 779-4023
Phone(952) 800-0988
Organization SubpartNo
Authorized OfficialJessica O'connellSr Manager Managed Care · (651) 779-4023
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1093517914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
Also ListedPharmacyTaxonomy 333600000X
1750 COUNTY ROAD 42 W, Burnsville, MN 55337
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Other Names 1

Doing Business AsCub Pharmacy

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 24D2321649

Supervalu Pharmacies Inc. D/B/A Cub Pharmacy #1966 · Burnsville, MN
Active · expires Apr 7, 2027
CLIA Number24D2321649
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorRobert L. Hagie
Laboratory Phone(952) 800-0988
Laboratory LocationSupervalu Pharmacies Inc. D/B/A Cub Pharmacy #19661750 County Road 42 West, Burnsville, MN 55337
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

BRIDGET JEAN OGDEN PHARM.D
Pharmacist
1750 COUNTY ROAD 42 W
BURNSVILLE, MN 55337
Dakota County (952) 892-6262
EMILY SKJEVELAND
Pharmacist
1750 COUNTY ROAD 42 W
BURNSVILLE, MN 55337
Dakota County (952) 892-6262
SUPERVALU PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
1750 COUNTY ROAD 42 W
BURNSVILLE, MN 55337
Dakota County (952) 892-6262
DR. ROBERT L HAGIE PHARMD
Pharmacist
1750 COUNTY ROAD 42 W
BURNSVILLE, MN 55337
Dakota County (952) 892-6262
MR. PATRICK JAMES MESSELT R.PH
Pharmacist
1750 COUNTY ROAD 42 W
BURNSVILLE, MN 55337
Dakota County (952) 892-6262

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 Supervalu Pharmacies Inc.'s NPI number?

The NPI number for Supervalu Pharmacies Inc. is 1093517914. It was assigned to this organization in the NPPES registry on March 24, 2025. The provider is doing business as Cub Pharmacy.

Where is Supervalu Pharmacies Inc. located?

Supervalu Pharmacies Inc. is located at 1750 County Road 42 W, Burnsville, MN 55337. The listed phone number is (952) 800-0988.

What is Supervalu Pharmacies Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Supervalu Pharmacies Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2321649) is associated with this NPI, valid through April 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Supervalu Pharmacies 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 46 other insurers list Supervalu Pharmacies 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 Supervalu Pharmacies Inc. was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.