Supervalu Pharmacies Inc
NPI 1922879683 · Community/Retail Pharmacy · Rochester, 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 Rochester, MN (NPI 1922879683).
Provider details
- NPI number
- 1922879683
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jessica O'Connell, Manager, Managed Care(651) 779-4023
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
2 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 #1718
Registry dates
- Enumerated
- 2024-01-11
- Last updated
- 2024-01-11
- Certified
- 2024-01-10
Frequently asked questions
- What is Supervalu Pharmacies Inc's NPI number?
- Supervalu Pharmacies Inc's National Provider Identifier (NPI) is 1922879683, 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 2480 Scott Rd Nw, Rochester, MN 55901.
- 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 (1922879683) is active in the NPPES registry as of the last update on 2024-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.