GRAND ST PAUL CVS LLC


Address: 449 Commerce Dr, Woodbury, MN 55125-4872
Phone: 6512391875

GRAND ST PAUL CVS LLC (NPI# 1699079483) 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) 1699079483
Entity Type Organization
Organization Name GRAND ST PAUL CVS LLC
Other Organization Name CVS PHARMACY #17466
Practice Address 449 Commerce Dr
Woodbury
MN 55125-4872
Mailing Address 1 Cvs Dr
Mail Code 1090
Woonsocket
RI 02895-6146
Practice Telephone 6512391875
Practice Fax Number 6512391885
Mailing Telephone 4017651500
Enumeration Date 2011-01-07
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 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
263655 MN Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2128270 01
MN 1699079483 05

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #17466 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 449 COMMERCE DR
City WOODBURY
State MN
Zip Code 55125-4872

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871789123 Alissa Paul Physician Assistant 449 Commerce Dr, Woodbury, MN 55125-4872 2007-09-20
1043847098 Kelsey Krause Pharmacist 449 Commerce Dr, Woodbury, MN 55125-4872 2020-03-26
1194350595 Amy Kukacka Pharmacist 449 Commerce Dr, Woodbury, MN 55125-4872 2020-03-05
1528495397 Brenda Deutsch Nurse Practitioner 449 Commerce Dr, Woodbury, MN 55125-4872 2013-10-10
1437582301 Aretha Baidoo Pharmacist 449 Commerce Dr, Woodbury, MN 55125-4872 2013-08-15
1518254465 Erinne Hess Pharmacist 449 Commerce Dr, Woodbury, MN 55125-4872 2011-06-29
1013203264 Melissa N Nord Pharmacist 449 Commerce Dr, T2406, Woodbury, MN 55125-4872 2011-06-27
1992090534 Traci Diane Robinson Pharmacist 449 Commerce Dr, T-2406, Woodbury, MN 55125-4872 2011-06-11
1871890905 Luxottica Retail North America Inc Eyewear Supplier (Equipment, not the service) 449 Commerce Dr, Woodbury, MN 55125-4872 2011-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487268728 Haley Kirkpatrick Behavior Technician 721 Commerce Dr., Woodbury, MN 55125 2020-09-03
1689218091 Jordan Schmidt Student in an Organized Health Care Education/Training Program 1740 Welr Dr. #24, Woodbury, MN 55125 2019-10-30
1629619580 Mackenzie Ann Funke Occupational Therapist 721 Commerce Drivve, Woodbury, MN 55125 2019-10-02
1700342029 Darcy Stivland Counselor 1811 Weir Drive #270, Woodbury, MN 55125 2019-02-11
1235609884 Elizabeth Kennedy Ward Psychologist 7582 Currell Blvd Suite 208, Woodbury, MN 55125 2018-11-27
1528573664 Cory Lee Baumeister Counselor 652 Bielenberg Dr, Woodbury, MN 55125 2017-12-12
1760918239 David James Knight Dentist 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 2017-05-03
1366988826 Mark Your Home Health Care LLC Home Health 6053 Hudson Road, Suite 200, Woodbury, MN 55125 2017-01-09
1518415736 Kubei Holdings Group LLC Case Management 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 2016-09-16
1285087072 Adrian Jung Occupational Therapist 155 Radio Drive, Woodbury, MN 55125 2016-07-18
Find all providers in zip 55125

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
1215092671 Evergreen Pharmacy Pharmacy 118 E Red Bank Ave, Woodbury, NJ 08096-3559 2006-12-26
1033203435 Snyders Bros Inc Pharmacy 1750 Weir Dr, Woodbury, MN 55125-2252 2006-10-03
1841305984 Supervalu Pharmacies Inc Pharmacy 8432 Tamarack Vlg, Woodbury, MN 55125-3383 2006-08-20
1528085925 Walmart Inc. Pharmacy 10240 Hudson Rd, Woodbury, MN 55129-9111 2006-07-16
1811964190 Woodson's Pharmacy, Inc. Pharmacy 304 W Main St, Woodbury, TN 37190-1125 2006-03-04
1437677796 Woodbury Drug Center LLC Pharmacy 604 W Main St, Woodbury, TN 37190-1029 2017-09-06
1316267958 N H Raahil LLC Pharmacy 160 N Broad St, Woodbury, NJ 08096-1720 2010-06-06
1609921253 Cottage Pharmacy & Surgical Inc Pharmacy 8285 Jericho Tpke, Woodbury, NY 11797-1807 2007-01-24
1942305800 Upr Care Corp Pharmacy 378 Syosset Woodbury Rd, Woodbury, NY 11797-1200 2006-09-14
1073545000 Freds Stores of Tennessee Inc Pharmacy 1130 S Mccrary St, Woodbury, TN 37190-5997 2006-07-07
Find all providers in WOODBURY

Competitor

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City WOODBURY
Zip Code 55125

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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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