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SUPERVALU PHARMACIES INC
NPI 1922879683
Pharmacy - Community/Retail Pharmacy in Rochester, MN

Active since January 11, 2024
2480 SCOTT RD NW, SUITE 100, ROCHESTER, MN 55901(651) 779-4023 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Supervalu Pharmacies Inc NPPES

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

SUPERVALU PHARMACIES INC (NPI 1922879683), doing business as Cub Pharmacy #1718, is a healthcare organization registered as a community/retail pharmacy in Rochester, Minnesota and active in the NPI registry since January 2024. The organization lists Jessica O'connell, Manager, Managed Care, as its authorized official.

NPPES Registry Identity

NPI1922879683
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPERVALU PHARMACIES INC
Location Address2480 SCOTT RD NW, SUITE 100Rochester, MN 55901
Mailing Address421 3rd St SStillwater, MN 55082-4955 · (651) 779-4023 · Fax (651) 779-2023
Phone(651) 779-4023
Organization SubpartNo
Authorized OfficialJessica O'connellManager, Managed Care · (651) 779-4023
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 10, 2024
✔ NPI 1922879683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
2480 SCOTT RD NW, Rochester, MN 55901
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Other Names 1

Doing Business AsCub Pharmacy #1718

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 #1718/628 carries, from the Medicare DMEPOS supplier directory.

Cub Pharmacy #1718/628

DMEPOS supplier · Rochester, MNOperated by Supervalu Pharmacies Inc
⋮

Does not accept Medicare assignment

Cub Pharmacy #1718/628 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)23282191
Medicare Participant SinceJanuary 1, 2007
Supplier Location2480 Scott Rd NW Suite 100Rochester, MN 55901
Phone(507) 224-4037
Supplier Specialties
Pharmacy

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.

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 1922879683. It was assigned to this organization in the NPPES registry on January 11, 2024. The provider is doing business as Cub Pharmacy #1718.

Where is Supervalu Pharmacies Inc located?

Supervalu Pharmacies Inc is located at 2480 Scott Rd NW Suite 100, Rochester, MN 55901. The listed phone number is (651) 779-4023.

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 #1718/628 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 47 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 January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.