Supervalu Pharmacies Inc
NPI 1184700049 · Community/Retail Pharmacy · Stillwater, MN
Enrolled with Medicare as Part B Supplier - Centralized Flu Biller · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Supervalu Pharmacies Inc is a Community/Retail Pharmacy organization in Stillwater, MN (NPI 1184700049).
Provider details
- NPI number
- 1184700049
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Supervalu Inc
- Organization subpart
- Yes
- Authorized official
- Jessica O'Connell, Manager, Managed Care(651) 779-4023
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
26,731 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Admn Sarscov2 Vacc 1 Dose90480 | 13,969 | $31 |
| Administration of Influenza Virus VaccineG0008 | 12,416 | $17 |
| Administration of Pneumococcal VaccineG0009 | 346 | $18 |
Typical Medicare-allowed amounts for these services range $17–$31 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2024-04-26
- Certified
- 2024-04-26
Frequently asked questions
- What is Supervalu Pharmacies Inc's NPI number?
- Supervalu Pharmacies Inc's National Provider Identifier (NPI) is 1184700049, 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 421 3rd St S, Stillwater, MN 55082-4955.
- What is Supervalu Pharmacies Inc's phone number?
- The practice phone number listed in the NPPES registry for Supervalu Pharmacies Inc is (651) 779-4023.
- 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 Jessica O'Connell, Manager, Managed Care. 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 (1184700049) is active in the NPPES registry as of the last update on 2024-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.