Supervalu Pharmacies Inc is an authorized DME supplier for medicare equipments and products.
Supervalu Pharmacies Inc is a Community/Retail Pharmacy in Fridley, Minnesota. It is located at 246 57th Ave Ne, Fridley and it's customer support contact number is 763-586-9150. 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 261668 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:
246 57th Ave Ne, Fridley, Minnesota, 55432
Phone:
763-586-9150
Fax:
763-586-9184
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:
1831204973
NPI Enumeration Date:
20 Aug, 2006
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
261668
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
2423250
Other
Ncpdp
112039500
Medicaid
Minnesota
2048077
Other
Pk
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
O20100930063991
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 246 57th Ave Ne, Fridley, Minnesota or can call on customer care at 763-586-9150.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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