GRAND ST PAUL CVS LLC (NPI# 1235151911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235151911 |
| Entity Type | Organization |
| Organization Name | GRAND ST PAUL CVS LLC |
| Other Organization Name | CVS PHARMACY #16015 |
| Practice Address |
1744 Suburban Ave Saint Paul MN 55106-6619 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 6517780105 |
| Practice Fax Number | 6512344652 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-11-14 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9056 | MN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2045787 | 01 | |
| MN | 575557300 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16015 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437620903 | Grand St Paul Cvs LLC | Pharmacy | 17435 County Road 6, Plymouth, MN 55447-3046 | 2018-12-10 |
| 1174065007 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 30 Fairview Ave S, Saint Paul, MN 55105-1463 | 2016-11-09 |
| 1316327042 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 740 Railroad Ave, Albany, MN 56307-9456 | 2015-06-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1952715096 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1215 E Superior St, Duluth, MN 55802-2218 | 2014-06-17 |
| 1598101362 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 25 2nd St Ne, Aitkin, MN 56431-1419 | 2013-05-20 |
| 1326392762 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1000 Nicollet Mall # 0272, Minneapolis, MN 55403-2542 | 2012-11-07 |
| 1093060725 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 4528 Grand Ave, Duluth, MN 55807-2740 | 2012-07-18 |
| 1821356171 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2323 Highway 3 S, Northfield, MN 55057-5172 | 2012-04-24 |
| 1861760738 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 6540 Penn Ave S, Richfield, MN 55423-1143 | 2011-12-07 |
| Street Address |
1744 SUBURBAN AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106-6619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942565940 | Judy Linn Hull | Pharmacist | 1744 Suburban Ave, #68, Saint Paul, MN 55106-6619 | 2012-07-06 |
| 1770851727 | Larry David Miller | Pharmacist | 1744 Suburban Ave, 0068, Saint Paul, MN 55106-6619 | 2011-12-06 |
| 1932489267 | Craig Daniel Hansen | Pharmacist | 1744 Suburban Ave, T-0068, Saint Paul, MN 55106-6619 | 2011-08-17 |
| 1821383399 | Peter Horn | Pharmacist | 1744 Suburban Ave, T-0068, Saint Paul, MN 55106-6619 | 2011-06-13 |
| 1255626719 | Beth Ann Doerr | Pharmacist | 1744 Suburban Ave, Saint Paul, MN 55106-6619 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| 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 |
|---|---|---|---|---|
| 1518323997 | Genoa Healthcare, LLC | Pharmacy | 166 4th St E Ste 244, Saint Paul, MN 55101-1421 | 2016-01-14 |
| 1346635059 | Brightly Pharmacy Care Inc | Pharmacy | 1239 Payne Ave Ste 202, Saint Paul, MN 55130-3667 | 2015-03-31 |
| 1447323480 | Alchemist General Inc | Pharmacy | 694 Snelling Ave N, Suite A, Saint Paul, MN 55104 | 2006-11-16 |
| 1386738631 | Snyders Drug | Pharmacy | 2920 Rice St, Saint Paul, MN 55113-2230 | 2006-10-03 |
| 1982798385 | Snyders Drug | Pharmacy | 1867 Robert St S, Saint Paul, MN 55118-3904 | 2006-10-03 |
| 1245324649 | Snyders Drug Stores Inc | Pharmacy | 800 White Bear Ave N, Saint Paul, MN 55106-4319 | 2006-10-03 |
| 1619061017 | Snyders Drug | Pharmacy | 1121 Larpenteur Ave W, Saint Paul, MN 55113-6335 | 2006-10-03 |
| 1861480519 | Rbf LLC | Pharmacy | 892 Arcade St, Saint Paul, MN 55106-3852 | 2005-10-06 |
| 1447883269 | Children's Health Care | Pharmacy | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2020-02-20 |
| 1386778090 | James A Swinarski | Pharmacy | 624 Howard Ave, Saint Paul, NE 68873-2023 | 2007-03-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
Please comment or provide details below to improve the information on GRAND ST PAUL CVS LLC.
| 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.