Supervalu Pharmacies Inc
Community/Retail Pharmacy
5370 16th Ave, St Louis Park
Minnesota, 55416
952-544-0542 952-544-0629
Supervalu Pharmacies Inc is a Community/Retail Pharmacy in St Louis Park, Minnesota. It is located at 5370 16th Ave, St Louis Park and it's customer support contact number is 952-544-0542. The authorized person of Supervalu Pharmacies Inc is Steve Mccann who is Vp Pharmacy of the pharmacy and his contact number is 952-828-4531. Active license number of Supervalu Pharmacies Inc is 264447 for Community/Retail Pharmacy in Minnesota. Supervalu Pharmacies Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Supervalu Pharmacies Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Supervalu Pharmacies Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Supervalu Pharmacies Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 5370 16th Ave, St Louis Park,
Minnesota, 55416 |
| Phone: | 952-544-0542 |
| Fax: | 952-544-0629 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Steve Mccann |
| Position: | Vp Pharmacy |
| Contact Number: | 952-828-4531 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1760893374 |
| NPI Enumeration Date: | 16 May, 2014 |
| NPI Last Update On: | 20 Jun, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Supervalu Pharmacies Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 264447 | Minnesota | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2432386 | Other | | Ncpdp |
| 2146373 | Other | | Pk |
| 1760893374 | Medicaid | Minnesota | |
Medicare Enrollment:
Supervalu Pharmacies Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2860472560 | O20141001001168 | Supervalu Pharmacies Inc | DME SUPPLIER - PHARMACY |
Products Available:
Supervalu Pharmacies Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Cpap, Rads, & Related Supplies & Accessories |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Parenteral Equipment And/or Supplies | • Parenteral Nutrients |
| • Surgical Dressings | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11840 Valley View Rd,
Eden Prairie, Minnesota |
| Zip: | 55344-3643 |
| Phone Number: | 952-828-4588 |
| Fax Number: | 952-947-3470 |
Patients can reach Supervalu Pharmacies Inc at
5370 16th Ave, St Louis Park, Minnesota or can
call on customer care at 952-544-0542.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.