SUPERVALU PHARMACIES INC


Address: 8421 Lyndale Ave S, Bloomington, MN 55420-4580
Phone: 9523468625

SUPERVALU PHARMACIES INC (NPI# 1477668515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477668515
Entity Type Organization
Organization Name SUPERVALU PHARMACIES INC
Other Organization Name CUB PHARMACY
Practice Address 8421 Lyndale Ave S
Bloomington
MN 55420-4580
Mailing Address 11840 Valley View Rd
Attn: Managed Care Pharmacy Dept.
Eden Prairie
MN 55344-3643
Practice Telephone 9523468625
Practice Fax Number 9528814306
Mailing Telephone 9528284588
Mailing Fax Number 9529473470
Enumeration Date 2006-08-20
Last Update Date 2016-10-03
Authorized Official Name AARON SAPP (DIRECTOR OF PHARMACY SERVICES)
Authorized Official Telephone 9528284026
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
261667 MN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MN 940524100 05
PK 2048083 01

Other Provider/Organization Names

Other Name Type Code
CUB PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942831839 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 4601 Snelling Ave, Minneapolis, MN 55406-4464 2020-01-29
1235681958 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 10881 University Ave Ne, Blaine, MN 55434 2016-10-28
1740635770 Supervalu Pharmacies Inc Pharmacy 421 3rd St S, Stillwater, MN 55082-4955 2016-04-27
1851761514 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1920 Buerkle Rd, White Bear Lake, MN 55110 2015-10-06
1841685591 Supervalu Pharmacies Inc Pharmacy 2612 S Broadway St, Alexandria, MN 56308-3415 2015-03-31
1992946446 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 10520 France Ave S, Bloomington, MN 55431-3573 2009-03-13
1336397298 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1177 Clarence St, Saint Paul, MN 55106-2809 2008-09-04
1598912560 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 1020 Diffley Rd, Eagan, MN 55123-1777 2008-08-21
1104005578 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 4201 N Belt W, Belleville, IL 62226-5613 2007-11-01
1952580334 Supervalu Pharmacies Inc Durable Medical Equipment & Medical Supplies 196 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8008 2007-11-01

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities SUPERVALU Pharmacies Inc. 11840 Valley View Rd, Eden Prairie, Minnesota 55344

Office Location

Street Address 8421 LYNDALE AVE S
City BLOOMINGTON
State MN
Zip Code 55420-4580

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982233060 Stephanie Melby Pharmacist 8421 Lyndale Ave S, Bloomington, MN 55420-4580 2020-04-02
1518203736 Edward William Findell Pharmacist 8421 Lyndale Ave S, Bloomington, MN 55420-4580 2012-12-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457986556 Jon Brookson Engfer Counselor 8609 Lyndale Avenue South, Bloomington, MN 55420 2020-03-09
1720624810 Sunshine Assisted Living Services LLC Home Health 9540 Columbus Ave S, Bloomington, MN 55420 2019-11-23
1417205246 Jrb Holdings, LLC Home Health 9897 Lyndale Ave S, Bloomington, MN 55420 2012-08-28
1629223722 Jennifer Jean Bormann Audiologist 8714 Lyndale Avenue South, Minneapolis, MN 55420 2008-11-18
1801055959 Sarah J. Marsden Speech-Language Pathologist 900 W 94th St., Bloomington, MN 55420 2008-06-04
1699949784 1st Choice Care, Inc. Home Health 9035 Blaisdell Ave S, Bloomington, MN 55420 2008-04-18
1922295203 Cornerstone Advocacy Service Community/Behavioral Health 1000 East 80th St, Bloomington, MN 55420 2007-10-01
1184769457 Fairview Oxboro Pharmacy Mtm Non-Pharmacy Dispensing Site 600 W 98th Street, Bloomington, MN 55420 2007-02-21
1891831723 A Caring Company, Inc. In Home Supportive Care 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 2007-01-29
1134279318 Jennifer Mary Connelly Speech-Language Pathologist 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 2007-01-11
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922640077 Indiana University Health Bloomington Inc Pharmacy 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 2019-10-10
1962891820 Hy Vee Inc Pharmacy 1403 N Veterans Pkwy, Bloomington, IL 61704-2201 2015-01-15
1649369299 Catozzi Corporation Pharmacy 730 W 2nd St, Bloomington, IN 47403-2210 2006-10-12
1548353196 Town & Country Pharmacies, Inc. Pharmacy 404 W. Second St., Bloomington, IN 47403 2006-10-02
1801996855 Promise Health Inc Pharmacy 18671 Valley Blvd Unit B, Bloomington, CA 92316-1831 2006-09-22
1790881241 Walgreen Co Pharmacy 7940 Penn Ave S, Bloomington, MN 55431-1315 2006-09-15
1265535785 Hook Superx LLC Pharmacy 1000 N College Ave, Bloomington, IN 47404-2475 2006-09-07
1073616512 Hook Superx LLC Pharmacy 2650 S. Walnut St., Bloomington, IN 47401-6559 2006-09-07
1780690370 Walgreen Co Pharmacy 9800 Lyndale Ave S, Bloomington, MN 55420-4731 2006-08-01
1881609014 Walgreen Co Pharmacy 1408 N Main St, Bloomington, IL 61701-1762 2006-07-29
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Competitor

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City BLOOMINGTON
Zip Code 55420

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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