SUPERVALU PHARMACIES INC
NPI 1184700049
Pharmacy - Community/Retail Pharmacy in Stillwater, MN

Q: What is Supervalu Pharmacies Inc's NPI number?

The NPI number for Supervalu Pharmacies Inc is 1184700049. It was assigned to this organization in the NPPES registry on October 31, 2006.

Q: 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.

Active since October 31, 2006

421 3RD ST S, STILLWATER, MN 55082(651) 779-4023(651) 779-2023 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Supervalu Pharmacies Inc NPPES

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

SUPERVALU PHARMACIES INC (NPI 1184700049) is a healthcare organization registered as a community/retail pharmacy in Stillwater, Minnesota and active in the NPI registry since October 2006. The organization lists Jessica O'connell, Manager, Managed Care, as its authorized official.

NPPES Registry Identity

NPI1184700049

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSUPERVALU PHARMACIES INC

Location Address421 3RD ST SStillwater, MN 55082-4955

Mailing AddressPo Box 776418Chicago, IL 60677-6418 · (952) 828-4588 · Fax (952) 947-3470

Phone(651) 779-4023

Fax(651) 779-2023

Organization SubpartYesParent: Supervalu Inc

Authorized OfficialJessica O'connellManager, Managed Care · (651) 779-4023

Enumeration DateOctober 31, 2006

Last NPPES UpdateApril 26, 2024

NPPES CertifiedApril 26, 2024

✔ NPI 1184700049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

421 3RD ST S, Stillwater, MN 55082

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Other Identifiers 1

OtherP00418313Railroad Medicare Ptan

Areas of Expertise CMS Part B claims 6

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.

12,416 services12,317 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

11,415 services11,332 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

400 services400 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

346 services346 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.

345 services345 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 90686

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

43 services43 patients

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.

SARA MELIN

Pharmacist