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Supervalu Pharmacies Inc

Community/Retail Pharmacy in Saint Michael, MN · enumerated 2020 · authorized official Jessica O'Connell, Manager, Managed Care.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780213587

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Registry record

Entity type Organization (Type 2)
Legal business name Supervalu Pharmacies Inc
Other name <Unavail>
Practice address 900 Central Ave E, Saint Michael, MN, 55376
Phone (763) 497-3568
Fax (763) 497-3605
Enumeration date Apr 3, 2020
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Jessica O'Connell
Title Manager, Managed Care
Phone (651) 779-4023

Other identifiers

Identifier Type State Issuer
2434859 Other - NCPDP
266083 Other MN PHARMACY LICENSE
0326790254 Other - MEDICARE NSC

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.

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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 2023-03-07. Verify at npiregistry.cms.hhs.gov.
Where is Supervalu Pharmacies Inc located?
The practice location on file with NPPES is in Saint Michael, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.