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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 1457466591
Pharmacy - Community/Retail Pharmacy in Savage, MN

Active since August 20, 2006CLIA 24D1067653 · Waiver
14075 HWY 13 S, SAVAGE, MN 55378(952) 447-1611(952) 447-1619 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Supervalu Pharmacies Inc NPPES

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

SUPERVALU PHARMACIES INC (NPI 1457466591), doing business as Cub Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Savage, Minnesota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Jessica O'connell, Sr. Manager, Managed Care, as its authorized official.

NPPES Registry Identity

NPI1457466591
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPERVALU PHARMACIES INC
Location Address14075 HWY 13 SSavage, MN 55378-3100
Mailing AddressPo Box 990Minneapolis, MN 55440-0990 · (651) 779-4023
Phone(952) 447-1611
Fax(952) 447-1619
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 1457466591 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 · 262352
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
14075 HWY 13 S, Savage, MN 55378
Open in Google Maps ↗

Other Names 1

Doing Business AsCub Pharmacy

Other Identifiers 2

Medicaid866469200MN
Other2048468Pk

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 ›

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 24D1067653

Cub Pharmacy #1640 · Savage, MN
Active · expires Apr 23, 2027
CLIA Number24D1067653
Laboratory TypePharmacy
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorDolly Panchal
Laboratory Phone(952) 447-1611
Laboratory LocationCub Pharmacy #164014075 Highway 13, Savage, MN 55378
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.

DR. NANCY A QUINONES PHARMD
Pharmacist
14075 HWY 13 S
SAVAGE, MN 55378
Scott County (952) 447-1611
DANIEL MURPHY KENNEDY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
14075 HWY 13 S
SAVAGE, MN 55378
Scott County (952) 447-1611
MRS. RACHAEL M WENTWORTH PHARMD
Pharmacist
14075 HWY 13 S
SAVAGE, MN 55378
Scott County (952) 447-1611
CINDY LEUNG
Pharmacist
14075 HWY 13 S
SAVAGE, MN 55378
Scott County (952) 447-1611
LINDSAY LOHSE
Pharmacist
14075 HWY 13 S
SAVAGE, MN 55378
Scott County (952) 447-1611

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 1457466591. 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 14075 Hwy 13 S, Savage, MN 55378. The listed phone number is (952) 447-1611.

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 24D1067653) is associated with this NPI, valid through April 23, 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 Arkansas Health & Wellness and 45 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 12 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.