Supervalu Pharmacies Inc
Supervalu Pharmacies Inc is a healthcare organization registered as Community/Retail Pharmacy in Mankato, MN, holding Type 2 (organization) NPI 1194830232 since 2006. The authorized official on file is Steve Mccann, Vp Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194830232 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Supervalu Pharmacies Inc |
| Other name | <Unavail> |
| Practice address | 1800 MADISON AVE, Mankato, MN, 56001 |
| Phone | 5076251241 |
| Fax | 5076251322 |
| Enumeration date | 2006-08-20 |
| Last updated in NPPES | 2018-06-20 |
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 | 261974 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896475100 | Medicaid | MN | — |
| 2423983 | Other | — | NCPDP |
| 2048188 | Other | — | PK |
Copy-ready billing details
Provider: Supervalu Pharmacies Inc NPI: 1194830232 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1800 MADISON AVE, Mankato, MN, 56001
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366048134 | Tanya Sivertsen | Individual | Pharmacist | Mankato, MN |
Verify this record
Cross-check NPI 1194830232 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
What is a Type 2 NPI?
What type of organization is Supervalu Pharmacies Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-20.