Supervalu Pharmacies Inc
Supervalu Pharmacies Inc is a healthcare organization registered as Community/Retail Pharmacy in Mankato, MN, holding Type 2 (organization) NPI 1396851606 since 2006. The authorized official on file is Jessica O'Connell, Manager Managed Care.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396851606 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Supervalu Pharmacies Inc |
| Other name | <Unavail> |
| Practice address | 1200 S RIVERFRONT DR, Mankato, MN, 56001 |
| Phone | 5074462524 |
| Fax | 5073876996 |
| Enumeration date | 2006-08-21 |
| Last updated in NPPES | 2017-02-16 |
Authorized official
| Name | Jessica O'Connell |
|---|---|
| Title | Manager Managed Care |
| Phone | 9528284588 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 262027 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171657300 | Medicaid | MN | — |
| 2048235 | Other | — | PK |
Copy-ready billing details
Provider: Supervalu Pharmacies Inc NPI: 1396851606 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1200 S RIVERFRONT DR, Mankato, MN, 56001
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023430006 | Carol Daley | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Mankato, MN |
| 1467056952 | Trisha Johnson | Individual | Pharmacist | Mankato, MN |
Verify this record
Cross-check NPI 1396851606 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 the NPI number for Supervalu Pharmacies Inc?
Who is the authorized official for Supervalu Pharmacies Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-02-16.