GRAND ST PAUL CVS LLC (NPI# 1598101362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598101362 |
| Entity Type | Organization |
| Organization Name | GRAND ST PAUL CVS LLC |
| Other Organization Name | CVS PHARMACY # 10397 |
| Practice Address |
25 2nd St Ne Aitkin MN 56431-1419 |
| Mailing Address |
1 Cvs Dr P.o. Box 1075 Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 2189273754 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-10-21 |
| Authorized Official Name | SUSAN F. COLBERT (DIRECTOR) |
| 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 | NCPDP | 2431966 | 01 |
| MN | 1598101362 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10397 | 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 |
| 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 |
| 1356619415 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 329 Frazee St E, Detroit Lakes, MN 56501-3603 | 2011-12-05 |
| Street Address |
25 2ND ST NE |
| City | AITKIN |
| State | MN |
| Zip Code | 56431-1419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952952731 | Cathleen Ann Twistol | Technician | 41544 270th Place, Aitkin, MN 56431 | 2019-09-24 |
| 1801051685 | Sean Robert Carl Fleming | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2008-07-22 |
| 1144354531 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 3 3rd Street Ne, Aitkin, MN 56431 | 2007-03-15 |
| 1366522138 | William E Stein | Dentist | 18 3rd St Sw, Aitkin, MN 56431 | 2006-10-16 |
| 1831282557 | John T Mateyka | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-02 |
| 1134231590 | Aitkin Pharmacy Services, LLC | Pharmacy | 25 2nd Street, Ne, Aitkin, MN 56431 | 2006-08-31 |
| 1679959068 | Sharon Richardson | Counselor | 520 Nw 5th Street, Brainerd, MN 56431 | 2015-08-07 |
| 1518379288 | Mclean Severson | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2014-05-28 |
| 1679844260 | Jennifer Klee | Physical Therapist | 200 Bunker Hill Dr, Riverwood Healthcare Center, Aitkin, MN 56431 | 2012-01-13 |
| 1902960875 | Aitkin Community Hospital, Inc. | Clinic/Center | 200 Bunker Hill Dr, Aitkin, MN 56431 | 2006-12-21 |
| Find all providers in zip 56431 | ||||
| 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 |
|---|---|---|---|---|
| 1134231590 | Aitkin Pharmacy Services, LLC | Pharmacy | 25 2nd Street, Ne, Aitkin, MN 56431 | 2006-08-31 |
| 1689628356 | Shopko Stores Operating Co LLC | Pharmacy | 190 Southgate Dr, Aitkin, MN 56431-7407 | 2006-05-19 |
| 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 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.