Supervalu Pharmacies Inc
Supervalu Pharmacies Inc is a healthcare organization registered as Community/Retail Pharmacy in Blaine, MN, holding Type 2 (organization) NPI 1649385782 since 2006. The authorized official on file is Aaron Sapp, Director of Pharmacy Services.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649385782 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Supervalu Pharmacies Inc |
| Other name | <Unavail> |
| Practice address | 4205 PHEASANT RIDGE DR NE, Blaine, MN, 55449 |
| Phone | 7637840334 |
| Fax | 7637840346 |
| Enumeration date | 2006-08-20 |
| Last updated in NPPES | 2016-10-03 |
Authorized official
| Name | Aaron Sapp |
|---|---|
| Title | Director of Pharmacy Services |
| Phone | 9528284026 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 262078 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048240 | Other | — | PK |
| 701163600 | Medicaid | MN | — |
Copy-ready billing details
Provider: Supervalu Pharmacies Inc NPI: 1649385782 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 4205 PHEASANT RIDGE DR NE, Blaine, MN, 55449
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851815088 | Erin Burton | Individual | Pharmacist | Blaine, MN |
| 1487250593 | Lori Pederson | Individual | Pharmacist | Blaine, MN |
Verify this record
Cross-check NPI 1649385782 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
Where is Supervalu Pharmacies Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-10-03.