Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Supervalu Pharmacies Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1306951447

Supervalu Pharmacies Inc is a Durable Medical Equipment & Medical Supplies in Coon Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12900 Riverdale Dr NW
Coon Rapids, MN 55448-1282
Phone: (763) 421-0065
Fax: (763) 421-5908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 260728 (MN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1306951447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Sapp — Director Of Pharmacy Services · (952) 828-4026
Other names Cub Pharmacy
NPI enumeratedAugust 20, 2006
Last updated in NPPESOctober 3, 2016
Mailing address11840 Valley View Rd, Attn: Managed Care Pharmacy Dept., Eden Prairie, MN 55344-3643

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