GRAND ST PAUL CVS LLC (NPI# 1194126995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194126995 |
| Entity Type | Organization |
| Organization Name | GRAND ST PAUL CVS LLC |
| Other Organization Name | CVS PHARMACY # 10252 |
| Practice Address |
1411 Vermillion Hastings MN 55033 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6514382200 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | SUSAN 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 |
|---|---|---|---|
| WI | 100042576 | 05 | |
| MN | 1194126995 | 05 | |
| MN | NCPDP | 2432627 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10252 | 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 |
| 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 |
| 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 |
1411 VERMILLION |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
| 1205022753 | Amelia S Versland | Psychologist | 1303 S Frontage Rd, Ste 219, Hastings, MN 55033 | 2007-09-19 |
| Find all providers in zip 55033 | ||||
| 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 |
|---|---|---|---|---|
| 1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1861565582 | Dennis J Fowler | Pharmacy | 317 Beaver St, Hastings, PA 16646-0520 | 2006-11-17 |
| 1881783488 | Thrifty Drug Stores Inc | Pharmacy | 1102 Vermillion St, Hastings, MN 55033-2845 | 2006-10-12 |
| 1538263629 | Astrup Drug Inc | Pharmacy | 1399 S Frontage Rd, Hastings, MN 55033-2427 | 2006-09-11 |
| 1134231137 | Keiths Drive-in Drugs Inc | Pharmacy | 500 N Hastings Ave, Hastings, NE 68901-5110 | 2006-08-31 |
| 1326059833 | Berts Drug Inc | Pharmacy | 700 W 2nd St, Hastings, NE 68901-5103 | 2006-08-10 |
| 1548281595 | Berts Drug Inc | Pharmacy | 1021 W 14th St, Hastings, NE 68901-3046 | 2006-07-22 |
| 1629095005 | Walmart Inc. | Pharmacy | 1752 N Frontage Rd, Hastings, MN 55033-3490 | 2006-07-16 |
| 1174520332 | Crosier Park Pharmacy LLC | Pharmacy | 405 E 14th St, Hastings, NE 68901-3204 | 2005-07-02 |
| Find all providers in HASTINGS | ||||
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| 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.