Supervalu Pharmacies Inc
NPI 1023123163 · Community/Retail Pharmacy · Maplewood, MN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supervalu Pharmacies Inc is a Community/Retail Pharmacy organization in Maplewood, MN (NPI 1023123163).
Provider details
- NPI number
- 1023123163
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Steve Mccann, Vp Pharmacy(952) 828-4531
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cub Pharmacy
- Doing business as
- Cub Pharmacy
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2018-06-20
Frequently asked questions
- What is Supervalu Pharmacies Inc's NPI number?
- Supervalu Pharmacies Inc's National Provider Identifier (NPI) is 1023123163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supervalu Pharmacies Inc?
- Supervalu Pharmacies Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Supervalu Pharmacies Inc located?
- Supervalu Pharmacies Inc's practice location on file with NPPES is 2390 White Bear Ave N, Maplewood, MN 55109.
- What is Supervalu Pharmacies Inc's phone number?
- The practice phone number listed in the NPPES registry for Supervalu Pharmacies Inc is (651) 777-3113.
- Does Supervalu Pharmacies Inc accept Medicare?
- Supervalu Pharmacies Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Supervalu Pharmacies Inc?
- The authorized official listed on Supervalu Pharmacies Inc's NPPES record is Steve Mccann, Vp Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supervalu Pharmacies Inc's NPI active?
- Yes — Supervalu Pharmacies Inc's NPI (1023123163) is active in the NPPES registry as of the last update on 2018-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.