GRAND ST PAUL CVS LLC


Address: 4528 Grand Ave, Duluth, MN 55807-2740
Phone: 2186242820

GRAND ST PAUL CVS LLC (NPI# 1093060725) 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) 1093060725
Entity Type Organization
Organization Name GRAND ST PAUL CVS LLC
Other Organization Name CVS PHARMACY # 06686
Practice Address 4528 Grand Ave
Duluth
MN 55807-2740
Mailing Address 1 Cvs Dr
Woonsocket
RI 02895-6146
Practice Telephone 2186242820
Mailing Telephone 4017651500
Enumeration Date 2012-07-18
Last Update Date 2015-08-28
Authorized Official Name SUSAN F. COLBERT (DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017651500
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
Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MN NCPDP 2431500 01
MN 1093060725 05

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY # 06686 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
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

Office Location

Street Address 4528 GRAND AVE
City DULUTH
State MN
Zip Code 55807-2740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386270130 Kelsey Lynn Mcmurtry Pharmacist 4528 Grand Ave, Duluth, MN 55807-2740 2020-03-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568918126 Jaime Lynn Mallory Counselor 4000 W 9th St., Duluth, MN 55807 2016-09-01
1568817138 Fathers Rise Together Community/Behavioral Health 319 N 22nd Ave West, Duluth, MN 55807 2016-05-02
1558660357 Melissa June Huray Counselor 326 North Central Avenue, Duluth, MN 55807 2011-03-18
1376757682 Chiropractic Health Center P A Chiropractor 215 North Central Ave, Duluth, MN 55807 2007-05-09
1639235914 Mark Andrew Nelson Albee Social Worker 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 2006-12-29
1851457758 Northwood Children's Services, Inc. Counselor 4000 W 9th St, Duluth, MN 55807 2006-12-28
1679934012 Rebecca Ann Peterson Nurse Practitioner 4325 Grand Ave, Duluth, MN 55807 2016-03-13
1326134529 Jane Patricia Rudd Family Medicine 4212 Grand Ave, Duluth, MN 55807 2006-10-05
1548290257 Kirsten I Bich Family Medicine 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 2006-07-05
1033140660 Wendell R Bonner Family Medicine 4212 Grand Ave, Duluth, MN 55807 2006-07-05
Find all providers in zip 55807

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
1013454545 Genesis Recovery Services, LLC Pharmacy 5 N 3rd Ave W Ste 302, Duluth, MN 55802-1614 2017-01-23
1710392790 Express Pharmacy Inc Pharmacy 1630 Pleasant Hill Rd Unit C3, Duluth, GA 30096-5899 2014-06-27
1366883860 Annapurna Pharmacies, Inc Pharmacy 3585 Peachtree Industrial Blvd Ste 168, Duluth, GA 30096-6370 2013-07-12
1891063780 Walgreens Pharmacy 3100 Bugle Dr, Duluth, GA 30096-3526 2011-12-06
1912121187 Sung Hyun Inc Pharmacy 3230 Steve Reynolds Blvd Ste 114, Duluth, GA 30096-8833 2007-04-12
1851403794 Decatur Apothecary Pharmacy 3055 Saint Andrews Dr, Duluth, GA 30096-3584 2006-08-31
1356380364 Publix Super Markets Inc Pharmacy 3870 Peachtree Industrial Blvd, Duluth, GA 30096-1422 2006-06-05
1083690911 Hyungwon Kang Pharmacy 2550 Pleasant Hill Rd # Build100, Ste 126, Duluth, GA 30096-4122 2005-12-22
1114901550 Falks Woodland Pharmacy Inc Pharmacy 5300 Bristol St, Duluth, MN 55807-2903 2005-11-30
1780668137 Falks Woodland Pharmacy Inc Pharmacy 1352 W Arrowhead Rd, Duluth, MN 55811-2218 2005-11-30
Find all providers in DULUTH

Competitor

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City DULUTH
Zip Code 55807

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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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