{"npi":"1669587705","type":"NPI-2","status":"active","name":{"display":"Supervalu Pharmacies INC","other":[],"organization_name":"SUPERVALU PHARMACIES INC","authorised_official":"Steve Mccann"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"MN","license":"261414"}]},"addresses":[{"purpose":"LOCATION","street_1":"3930 SILVER LAKE RD NE","city":"MINNEAPOLIS","state":"MN","postal_code":"55421","country_code":"US","phone":"6127816405","fax":"6127898778"},{"purpose":"MAILING","street_1":"11840 VALLEY VIEW RD","city":"EDEN PRAIRIE","state":"MN","postal_code":"553443643","country_code":"US","phone":"9528284588","fax":"9529473470"}],"license":{"state":"MN","number":"261414"},"identifiers":[{"type_code":"01","label":"Other","value":"2047431","state":null,"issuer":"PK"},{"type_code":"05","label":"Medicaid","value":"265226900","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"2422119","state":null,"issuer":"NCPDP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930051453","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"MN","pac_id":"2860472560"}]},"enumeration_date":"2006-08-20","last_updated":"2018-06-20","_meta":{"source":"NPPES","snapshot_date":"2018-06-20","doc_url":"https://findmynpi.com/api"}}