GRAND ST PAUL CVS LLC (NPI# 1316327042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316327042 |
| Entity Type | Organization |
| Organization Name | GRAND ST PAUL CVS LLC |
| Other Organization Name | CVS PHARMACY # 10771 |
| Practice Address |
740 Railroad Ave Albany MN 56307-9456 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3208457540 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-10-07 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR PAYER RELATIONS) |
| 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 |
|---|---|---|---|
| NCPDP | 2432831 | 01 | |
| MN | 1316327042 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10771 | 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 |
| 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 |
| 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 |
740 RAILROAD AVE |
| City | ALBANY |
| State | MN |
| Zip Code | 56307-9456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755929 | Christopher Shay | Pharmacist | 740 Railroad Ave, Albany, MN 56307-9456 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023156 | Mary Jane Zeimetz | Technician | 355 Countryside Ln #6, Albany, MN 56307 | 2019-09-25 |
| 1003965047 | Harry J Larson | Dentist | 150 4th Street, Albany, MN 56307 | 2007-01-09 |
| 1952498214 | Katrina Coppicus | Occupational Therapist | 230 Church Street, Albany, MN 56307 | 2006-10-06 |
| 1457726549 | Centracare Clinic | Clinic/Center | 30 Railroad Ave, Albany, MN 56307 | 2015-12-01 |
| 1104899939 | Mother of Mercy | Skilled Nursing Facility | 230 Church Avenue, Albany, MN 56307-0676 | 2006-02-10 |
| 1922302843 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 131 8th Street South, Suite 1, Albany, MN 56307-0776 | 2011-01-06 |
| 1093019754 | Chi Health Connect At Home - Fargo | Home Health | 131 8th Street South, Suite 1, Albany, MN 56307-0776 | 2011-01-10 |
| 1427108273 | Robert C. Schwegler, Dds Pa | Clinic/Center | 421 Railroad Ave, Albany, MN 56307-0808 | 2007-01-12 |
| 1700408796 | Jessica Michael Lindquist | Counselor | 1185 Cranberry St, Albany, MN 56307-4518 | 2020-05-12 |
| 1417440223 | Megan Raiber | Dentist | 360 Railroad Ave, Albany, MN 56307-6201 | 2018-06-07 |
| Find all providers in zip 56307 | ||||
| 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] |
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| 1134556764 | Phyllis K. Curry L.L.C. | Pharmacy | 104 S. Main St, Albany, TX 76430 | 2013-09-27 |
| 1992949275 | Nys Office of Mental Health | Pharmacy | 44 Holland Avenune, Attn: Finance Group/mgp, Albany, NY 12229-0001 | 2009-04-30 |
| 1033362314 | South Albany Pharmacy | Pharmacy | 1310 Newton Rd, Albany, GA 31701-3480 | 2008-10-30 |
| 1912178294 | Johns Pharmacy In Albany LLC | Pharmacy | 29148 South Montpelier Ave, Albany, LA 70711 | 2008-03-14 |
| 1154414514 | Southern Family Markets LLC | Pharmacy | 2826 Meredyth Dr, Albany, GA 31707-0208 | 2006-09-30 |
| 1417052846 | Ccrx of New York, LLC | Pharmacy | 431 New Karner Rd, Albany, NY 12205-3868 | 2006-09-13 |
| 1699887604 | Hrx Ltd | Pharmacy | 1333 Clay St Se, Albany, OR 97322-6868 | 2006-08-31 |
| 1396859369 | Tlc Drugs | Pharmacy | 523 7th Ave, Albany, GA 31701-1921 | 2006-08-18 |
| Find all providers in ALBANY | ||||
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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.