Supervalue Pharmacy
Supervalue Pharmacy is a healthcare organization registered as Community/Retail Pharmacy in Eupora, MS, holding Type 2 (organization) NPI 1700943180 since 2007. The authorized official on file is H Bagwell, Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700943180 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Supervalue Pharmacy |
| Practice address | 210 A VETERANS BLVD N, Eupora, MS, 39744 |
| Phone | 6622586710 |
| Fax | 6622585961 |
| Enumeration date | 2007-01-03 |
| Last updated in NPPES | 2007-09-12 |
Authorized official
| Name | H Bagwell |
|---|---|
| Title | Pic |
| Phone | 6622586710 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 02200012 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2586002 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 2586002 | Other | — | OTHER ID NUMBER |
Copy-ready billing details
Provider: Supervalue Pharmacy NPI: 1700943180 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 210 A VETERANS BLVD N, Eupora, MS, 39744
Verify this record
Cross-check NPI 1700943180 against the authoritative CMS record: view Supervalue Pharmacy 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 Supervalue Pharmacy?
Who is the authorized official for Supervalue Pharmacy?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-12.