GRAND ST PAUL CVS L L C (NPI# 1952825051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952825051 |
| Entity Type | Organization |
| Organization Name | GRAND ST PAUL CVS L L C |
| Practice Address |
1300 West Lake St Minneapolis MN 55408-2763 |
| Mailing Address |
1 Cvs Dr # 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6128240991 |
| Mailing Telephone | (401) 765-1500 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | SUSAN COLBERT (SR 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 | MN | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MN | Suppliers | |
| Y | 333600000X | Pharmacy | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1952825051 | 05 | |
| MN | MASS IMM | 730000099 | 01 |
| MN | NCPDP | 2433629 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1578821245 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 880 Washington Ave Se, Minneapolis, MN 55414-3035 | 2012-05-01 |
| 1700180692 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 1175 Madison Ave, Mankato, MN 56001-5227 | 2011-01-06 |
| Street Address |
1300 WEST LAKE ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-2763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| 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 |
|---|---|---|---|---|
| 1295222909 | A & E Pharmacy LLC | Pharmacy | 1509 10th Ave S, Minneapolis, MN 55404-1754 | 2018-04-18 |
| 1740711753 | Hennepin Healthcare System Inc | Pharmacy | 800 Washington Ave N Ste 190, Minneapolis, MN 55401-1330 | 2017-03-22 |
| 1851843478 | Value Pharmacy LLC | Pharmacy | 1839 Nicollet Ave, Minneapolis, MN 55403-3745 | 2016-10-31 |
| 1215364088 | Hikma Pharmacy Inc | Pharmacy | 615 Cedar Ave S, Minneapolis, MN 55454-1220 | 2013-10-10 |
| 1487923488 | Banadir Pharmacy LLC | Pharmacy | 1 W Lake St Ste 195, Minneapolis, MN 55408-3362 | 2011-12-20 |
| 1891084281 | Fairview Pharmacy Services LLC | Pharmacy | 711d Kasota Ave Se, Minneapolis, MN 55414-2842 | 2011-04-06 |
| 1629241732 | Fairview Pharmacy Services LLC | Pharmacy | 711c Kasota Ave Se, Minneapolis, MN 55414-2842 | 2008-04-09 |
| 1073794111 | Fairview Pharmacy Services LLC | Pharmacy | 711 Kasota Ave Se Ste B, Minneapolis, MN 55414 | 2007-11-16 |
| 1104956929 | Fairview University Discharge Pharmacy 340b | Pharmacy | 500 Harvard Street Se Suite 3-017, Minneapolis, MN 55455 | 2007-03-07 |
| 1609902659 | Fairview University Masonic Pharmacy | Pharmacy | 424 Harvard Street Se Suite 300, Minneapolis, MN 55455 | 2007-02-26 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
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.