GRAND ST. PAUL CVS, L.L.C. (NPI# 1043512031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043512031 |
| Entity Type | Organization |
| Organization Name | GRAND ST. PAUL CVS, L.L.C. |
| Other Organization Name | CVS PHARMACY # 06810 |
| Practice Address |
1714 Center Ave W Dilworth MN 56529-1330 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 2132875147 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2011-05-06 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1043512031 | 05 | |
| MN | NCPDP | 2430457 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 06810 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003118696 | Grand St. Paul Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 600 Central Ave. E, St. Michael, MN 55376-4584 | 2010-12-02 |
| Street Address |
1714 CENTER AVE W |
| City | DILWORTH |
| State | MN |
| Zip Code | 56529-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417928 | Molly Askegaard | Pharmacist | 1714 Center Ave W, Dilworth, MN 56529-1330 | 2020-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386780187 | Linda Jo Spitzer | Optometrist | 1675 Center Ave W, Sinkler Optical Suite C, Dilworth, MN 56529 | 2007-01-29 |
| 1033279724 | Isd 2164 | Local Education Agency (LEA) | 108 Main Street North, Dilworth, MN 56529 | 2006-12-11 |
| 1609977354 | Darin L Edeen | Dentist | 802 Center Ave West, Dilworth, MN 56529 | 2006-09-26 |
| 1295871002 | Sinkler Optical Fm Inc | Eyewear Supplier (Equipment, not the service) | 1675 Center Ave W, Dilworth, MN 56529 | 2007-01-29 |
| 1164505251 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 415 34th St N, Dilworth, MN 56529 | 2006-10-23 |
| 1407221278 | Sharlene Stoering | Contractor | 102 8th St Nw, Dilworth, MN 56529-1003 | 2015-12-04 |
| 1386000933 | Janae Moe | Physical Therapy Assistant | 606 5th St Ne, Dilworth, MN 56529-1125 | 2016-01-12 |
| 1053667493 | Neff Dialysis LLC | Clinic/Center | 1710 Center Ave W, Dilworth, MN 56529-1309 | 2012-08-02 |
| 1407853500 | Robert V Toutges | Dentist | 802 Center Ave W, Dilworth, MN 56529-1339 | 2005-07-05 |
| 1457888463 | Canaan Muscatell | Dentist | 802 Center Ave W, Dilworth, MN 56529-1339 | 2017-05-22 |
| Find all providers in zip 56529 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033276 | Nina Marie Kleinschmidt | Pharmacy | 1315 Minnesota Ave, Detroit Lakes, MN 56501-3913 | 2019-10-07 |
| 1659837698 | Bpoint Pharmacy Services Ltd | Pharmacy | 30833 North Star Dr, Suite 2, Breezy Point, MN 56472 | 2019-02-14 |
| 1477042372 | Sanford Clinic North | Pharmacy | 1611 Anne St Nw Ste 1, Bemidji, MN 56601-5114 | 2018-05-07 |
| 1295222909 | A & E Pharmacy LLC | Pharmacy | 1509 10th Ave S, Minneapolis, MN 55404-1754 | 2018-04-18 |
| 1215445085 | Genoa Healthcare LLC | Pharmacy | 8441 Wayzata Blvd, Suite 340, Golden Valley, MN 55426-1372 | 2018-01-16 |
| 1497279608 | Coborns Inc | Pharmacy | 110 1st St S Ste B, Sauk Rapids, MN 56379-1404 | 2017-07-29 |
| 1740711753 | Hennepin Healthcare System Inc | Pharmacy | 800 Washington Ave N Ste 190, Minneapolis, MN 55401-1330 | 2017-03-22 |
| 1568903532 | First Choice Pharmacy of Jordan PC | Pharmacy | 165 West Commerce Drive, Suite 110, Belle Plaine, MN 56011 | 2017-03-10 |
| 1013454545 | Genesis Recovery Services, LLC | Pharmacy | 5 N 3rd Ave W Ste 302, Duluth, MN 55802-1614 | 2017-01-23 |
| 1104360973 | Group Health Plan, Inc. | Pharmacy | 3800 Park Nicollet Blvd Ste 1170, St Louis Park, MN 55416-2527 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GRAND ST. PAUL CVS, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.