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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 1760893374
Pharmacy - Community/Retail Pharmacy in St Louis Park, MN

Active since May 16, 2014
5370 16TH AVE, ST LOUIS PARK, MN 55416(952) 544-0542(952) 544-0629 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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

About Supervalu Pharmacies Inc NPPES

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

SUPERVALU PHARMACIES INC (NPI 1760893374), doing business as Cub Pharmacy, is a healthcare organization registered as a community/retail pharmacy in St Louis Park, Minnesota and active in the NPI registry since May 2014. The organization lists Jessica O'connell, Sr. Manager, Managed Care, as its authorized official.

NPPES Registry Identity

NPI1760893374
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPERVALU PHARMACIES INC
Location Address5370 16TH AVESt Louis Park, MN 55416
Mailing AddressPo Box 990Minneapolis, MN 55440-0990 · (651) 779-4023
Phone(952) 544-0542
Fax(952) 544-0629
Organization SubpartNo
Authorized OfficialJessica O'connellSr. Manager, Managed Care · (651) 779-4023
Enumeration DateMay 16, 2014
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1760893374 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 · 264447
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
5370 16TH AVE, St Louis Park, MN 55416
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Other Names 1

Doing Business AsCub Pharmacy

Other Identifiers 3

Other2146373Pk
Other2432386Ncpdp
Medicaid1760893374MN

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

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

RBF LLC
Pharmacy (Community/Retail Pharmacy)
5370 16TH AVE
ST LOUIS PARK, MN 55416
Hennepin County (952) 546-1951

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 1760893374. It was assigned to this organization in the NPPES registry on May 16, 2014. The provider is doing business as Cub Pharmacy.

Where is Supervalu Pharmacies Inc located?

Supervalu Pharmacies Inc is located at 5370 16th Ave, St Louis Park, MN 55416. The listed phone number is (952) 544-0542.

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.

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 41 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 18 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.