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Supervalu Pharmacies Inc

Supervalu Pharmacies Inc is a healthcare organization registered as Community/Retail Pharmacy in Rochester, MN, holding Type 2 (organization) NPI 1003921149 since 2006. The authorized official on file is Steve Mccann, Vp Pharmacy.

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NPI 1003921149
Entity type Organization (Type 2)
Legal business name Supervalu Pharmacies Inc
Other name <Unavail>
Practice address 1021 15TH AVE SE, Rochester, MN, 55904
Phone 5072883234
Fax 5072888977
Enumeration date 2006-08-20
Last updated in NPPES 2023-06-28

Authorized official

Name Steve Mccann
Title Vp Pharmacy
Phone 9528284531

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary 261996 MN

Other identifiers

Identifier Type State Issuer
2048203 Other PK
2424137 Other NCPDP
490610100 Medicaid MN
Copy-ready billing details
Provider: Supervalu Pharmacies Inc
NPI: 1003921149
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1021 15TH AVE SE, Rochester, MN, 55904

Providers at this address

NPI Name Type Specialty Location
1023506003 Adam Zimbeck Individual Pharmacist Rochester, MN
1851997928 Adam Mcdougle Individual Pharmacist Rochester, MN
1659977247 Paige Leclerc Individual Pharmacist Rochester, MN
1700650595 Swita Li Individual Pharmacist Rochester, MN

Verify this record

Cross-check NPI 1003921149 against the authoritative CMS record: view Supervalu Pharmacies Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-06-28. Verify at npiregistry.cms.hhs.gov.
Where is Supervalu Pharmacies Inc located?
The practice location on file with NPPES is in Rochester, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-06-28.