CUB PHARMACY
NPI 1841685591
Pharmacy - Community/Retail Pharmacy in Alexandria, MN

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

The NPI number for Supervalu Pharmacies Inc is 1841685591. It was assigned to this organization in the NPPES registry on March 31, 2015. The provider is doing business as Cub Pharmacy.

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 March 31, 2015CLIA 24D2096191 · Waiver

2612 S BROADWAY ST, ALEXANDRIA, MN 56308(320) 759-1135(320) 759-1442 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cub Pharmacy NPPES

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

CUB PHARMACY (NPI 1841685591) is a healthcare organization registered as a community/retail pharmacy in Alexandria, Minnesota and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Aaron Sapp, Director Of Pharmacy Services, as its authorized official.

NPPES Registry Identity

NPI1841685591

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSUPERVALU PHARMACIES INC

Location Address2612 S BROADWAY STAlexandria, MN 56308-3415

Mailing Address11840 Valley View Rd, Attn: Managed Care Pharmacy Dept.Eden Prairie, MN 55344-3643 · (952) 828-4588 · Fax (952) 947-3470

Phone(320) 759-1135

Fax(320) 759-1442

Organization SubpartNo

Authorized OfficialAaron SappDirector Of Pharmacy Services · (952) 828-4026

Enumeration DateMarch 31, 2015

Last NPPES UpdateOctober 3, 2016

✔ NPI 1841685591 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 · 264711

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

2612 S BROADWAY ST, Alexandria, MN 56308

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Other Names 1

Doing Business AsCub Pharmacy

Other Identifiers 3

Medicaid1841685591MN

Medicare NSC0326790248

Other2151107Pk

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 ›

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 24D2096191

Cub Pharmacy #1962 · Alexandria, MN

Active · expires May 18, 2027

CLIA Number24D2096191

Laboratory TypePharmacy

Certificate Effective DateMay 19, 2025

Certificate Expiration DateMay 18, 2027

Laboratory DirectorAlissa Larson

Laboratory Phone(320) 759-1135

Laboratory LocationCub Pharmacy #19622612 South Broadway St, Alexandria, MN 56308

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Cub Pharmacy #1962 carries, from the Medicare DMEPOS supplier directory.

Cub Pharmacy #1962

DMEPOS supplier · Alexandria, MNOperated by Supervalu Pharmacies Inc

⋮

Does not accept Medicare assignment

Cub Pharmacy #1962 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)20570699

Medicare Participant SinceJanuary 1, 2007

Supplier Location2612 S Broadway StAlexandria, MN 56308

Phone(320) 759-1135

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 2

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

MRS. ALISSA NICHOLE LARSON PHARMD

Pharmacist

2612 S BROADWAY ST
ALEXANDRIA, MN 56308

Douglas County (320) 759-1135

SVEN SWANSON RPH

Pharmacist

2612 S BROADWAY ST
ALEXANDRIA, MN 56308

Douglas County (320) 759-1135

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 1841685591. It was assigned to this organization in the NPPES registry on March 31, 2015. The provider is doing business as Cub Pharmacy.

Where is Supervalu Pharmacies Inc located?

Supervalu Pharmacies Inc is located at 2612 S Broadway St, Alexandria, MN 56308. The listed phone number is (320) 759-1135.

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 #1962 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.

Does Supervalu Pharmacies Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2096191) is associated with this NPI, valid through May 18, 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 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 October 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.