GRAND ST PAUL CVS LLC


Address: 6445 Richfield Pkwy, Richfield, MN 55423-6400
Phone: 6122520474

GRAND ST PAUL CVS LLC (NPI# 1427242569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427242569
Entity Type Organization
Organization Name GRAND ST PAUL CVS LLC
Other Organization Name CVS PHARMACY #17368
Practice Address 6445 Richfield Pkwy
Richfield
MN 55423-6400
Mailing Address 1 Cvs Dr
Mail Code 1090
Woonsocket
RI 02895-6146
Practice Telephone 6122520474
Practice Fax Number 6122520484
Mailing Telephone 4017651500
Enumeration Date 2007-08-31
Last Update Date 2016-11-21
Authorized Official Name SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
263089 MN Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2049326 01
MN 484608000 05

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #17368 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 6445 RICHFIELD PKWY
City RICHFIELD
State MN
Zip Code 55423-6400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780706515 Marna Ann Jacobi Nurse Practitioner 6445 Richfield Pkwy, Richfield, MN 55423-6400 2007-04-04
1568069359 Amber Schultze Physician Assistant 6445 Richfield Pkwy, Richfield, MN 55423-6400 2020-10-05
1063020410 Jessica Gale Kessler Nurse Practitioner 6445 Richfield Pkwy, Richfield, MN 55423-6400 2020-07-21
1437637097 Nicole Mary Carr Pharmacist 6445 Richfield Pkwy, Richfield, MN 55423-6400 2018-08-04
1376038208 Megan Korpela Physician Assistant 6445 Richfield Pkwy, Richfield, MN 55423-6400 2018-06-23
1902258353 Steven Wesbur Pharmacist 6445 Richfield Pkwy, Richfield, MN 55423-6400 2016-07-11
1013324003 Rebecca Hooper Physician Assistant 6445 Richfield Pkwy, Richfield, MN 55423-6400 2014-07-22
1770997165 Vinh Ngo Optometrist 6445 Richfield Pkwy, Richfield, MN 55423-6400 2014-06-13
1477982544 Stacia Essler Nurse Practitioner 6445 Richfield Pkwy, Richfield, MN 55423-6400 2013-11-08
1619263738 Timothy J Krause Pharmacist 6445 Richfield Pkwy, T-2300, Richfield, MN 55423-6400 2011-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841844081 Ann Niebuhr Counselor 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 2019-07-25
1073021077 Alton John Olson Surgery 7008 - Morgan Avenue South, Richfield, MN 55423 2018-01-12
1992238190 Certified Care Planner LLC Home Health 1515 E 66th Street Suite 105, Richfield, MN 55423 2017-04-05
1245780121 Rachel Lauren Marston Audiologist 7745 2nd Ave S., Suite 1, Richfield, MN 55423 2016-10-04
1023564093 Justine Welch Mastin Counselor 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 2016-08-30
1215480942 Smart Choice Mri, LLC Clinic/Center 1704 E 66th St, Minneapolis, MN 55423 2016-07-29
1225425531 Maria Lourdes Nolasco De Leon Registered Nurse 6511 12th Ave. S, Richfield, MN 55423 2015-04-24
1508261926 Ally Medical Supply Durable Medical Equipment & Medical Supplies 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 2014-10-28
1811230097 Barb Rose Olson Registered Nurse 6461 Lyndale Ave. So, Richfield, MN 55423 2013-04-05
1902149404 Nina Kae Hanevik Registered Nurse 6461 Lyndale Ave So, Richfield, MN 55423 2013-04-03
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952520264 Larson Phcy Inc Pharmacy 6544 Penn Ave S, Richfield, MN 55423-1143 2007-04-25
1902954266 Rbf LLC Pharmacy 140 W 66th St, Richfield, MN 55423-2371 2007-01-05
1578594578 K Mart Corp Pharmacy 6501 Lyndale Ave S, Richfield, MN 55423-1407 2006-07-06
1215968334 K Mart Corp Pharmacy 1040 South Us Highway 89, Richfield, UT 84701 2006-07-06
1366871410 Ihc Health Services Inc Pharmacy 1000 N Main St, Richfield, UT 84701-2061 2013-11-08
1053689158 Super Drug & Herbal Store, Inc Pharmacy 508 N Main St, Richfield, UT 84701-1864 2011-12-05
1417280702 Lin's Supermarkets Inc Pharmacy 250 S Main St, Richfield, UT 84701-2559 2009-09-17
1629153556 Lunds Inc Pharmacy 6228 Penn Ave S, Richfield, MN 55423-1135 2006-10-26
1861586265 Snyders Drug Pharmacy 780 W 66th St, Richfield, MN 55423-2203 2006-10-03

Providers in the same taxonomy and state

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
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Competitor

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City RICHFIELD
Zip Code 55423

Improve Information

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Dataset Information

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.

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