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CUB PHARMACY
NPI 1215348727
Pharmacy - Community/Retail Pharmacy in Lakeville, MN

Active since May 19, 2014
17756 KENWOOD TRL, LAKEVILLE, MN 55044(952) 435-0542(952) 435-2072 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2018, Aug 26, 2016 (2 updates tracked since 2016).

About Cub Pharmacy NPPES

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

CUB PHARMACY (NPI 1215348727) is a healthcare organization registered as a community/retail pharmacy in Lakeville, Minnesota and active in the NPI registry since May 2014. The organization lists Steve Mccann, Vp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1215348727
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPERVALU PHARMACIES INC
Location Address17756 KENWOOD TRLLakeville, MN 55044
Mailing Address11840 Valley View RdEden Prairie, MN 55344-3643 · (952) 828-4588 · Fax (952) 947-3470
Phone(952) 435-0542
Fax(952) 435-2072
Organization SubpartNo
Authorized OfficialSteve MccannVp Pharmacy · (952) 828-4531
Enumeration DateMay 19, 2014
Last NPPES UpdateJune 20, 20182 updates tracked since enumeration
✔ NPI 1215348727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 264452
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
17756 KENWOOD TRL, Lakeville, MN 55044
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Other Names 1

Doing Business AsCub Pharmacy

Other Identifiers 3

Medicaid1215348727MN
Other2432449Ncpdp
Other2146380Pk

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 ›

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Cub Pharmacy #1597 carries, from the Medicare DMEPOS supplier directory.

Cub Pharmacy #1597

DMEPOS supplier · Lakeville, MNOperated by Supervalu Pharmacies Inc
⋮

Does not accept Medicare assignment

Cub Pharmacy #1597 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)20570183
Medicare Participant SinceJanuary 1, 2007
Supplier Location17756 Kenwood TrlLakeville, MN 55044
Phone(952) 898-4505
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 3

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

RBF LLC
Pharmacy (Community/Retail Pharmacy)
17756 KENWOOD TRL
LAKEVILLE, MN 55044
Dakota County (952) 898-4505
NANCY RENEE SCORE
Pharmacist
17756 KENWOOD TRL
LAKEVILLE, MN 55044
Dakota County (952) 435-0542
YOUSIF MURAD
Pharmacist
17756 KENWOOD TRL
LAKEVILLE, MN 55044
Dakota County (952) 898-4505

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 1215348727. It was assigned to this organization in the NPPES registry on May 19, 2014. The provider is doing business as Cub Pharmacy.

Where is Supervalu Pharmacies Inc located?

Supervalu Pharmacies Inc is located at 17756 Kenwood Trl, Lakeville, MN 55044. The listed phone number is (952) 435-0542.

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 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Cub Pharmacy #1597 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.

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 48 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 June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.