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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUPERVALU PHARMACIES INC
NPI 1407961543
Pharmacy - Community/Retail Pharmacy in Maplewood, MN

Active since August 20, 2006
100 COUNTY ROAD B W, MAPLEWOOD, MN 55117(651) 489-6271(651) 487-0966 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Supervalu Pharmacies Inc NPPES

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

SUPERVALU PHARMACIES INC (NPI 1407961543), doing business as Cub Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Maplewood, Minnesota and active in the NPI registry since August 2006. The organization lists Jessica O'connell, Sr. Manager, Managed Care, as its authorized official.

NPPES Registry Identity

NPI1407961543
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPERVALU PHARMACIES INC
Location Address100 COUNTY ROAD B WMaplewood, MN 55117-1931
Mailing AddressPo Box 990Minneapolis, MN 55440-0990 · (651) 779-4023
Phone(651) 489-6271
Fax(651) 487-0966
Organization SubpartNo
Authorized OfficialJessica O'connellSr. Manager, Managed Care · (651) 779-4023
Enumeration DateAugust 20, 2006
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1407961543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 260333
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 ListedPharmacyTaxonomy 333600000X
100 COUNTY ROAD B W, Maplewood, MN 55117
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Other Names 1

Doing Business AsCub Pharmacy

Other Identifiers 2

Medicaid660058100MN
Other2046387Pk

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 Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

STUART JAMES REMUS RPH
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Ramsey County (651) 489-6271
TONY ZOOVDUE YALO
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Ramsey County (651) 489-6271
BREANNE DIETZ PHARM. D
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Ramsey County (651) 489-6271
BRIDGET CURTIN PHARMD
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Ramsey County (651) 489-6271
JESSICA MARIE MULCARE PHARMD
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Ramsey County (651) 489-6271
JACK KIM
Pharmacist
100 COUNTY ROAD B W
MAPLEWOOD, MN 55117
Ramsey County (608) 772-8773

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 1407961543. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Cub Pharmacy.

Where is Supervalu Pharmacies Inc located?

Supervalu Pharmacies Inc is located at 100 County Road B W, Maplewood, MN 55117. The listed phone number is (651) 489-6271.

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.

What insurance does Supervalu Pharmacies Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 42 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 October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.