OrganizationActive
Supervalu Pharmacies Inc
NPI 1396851606 · Community/Retail Pharmacy · Mankato, MN
Provider details
- NPI number
- 1396851606
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jessica O'Connell, Manager Managed Care(952) 828-4588
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
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
1200 S Riverfront Dr
Mankato, MN 56001-2484
Phone: (507) 446-2524
Fax: (507) 387-6996
Street-level locationGet directions
Mailing address
11840 Valley View Rd
Eden Prairie, MN 55344-3643
Other names (DBA / former)
- Doing business as
- Cub Pharmacy
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2017-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.