GRAND ST PAUL CVS LLC (NPI# 1467474130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467474130 |
Entity Type | Organization |
Organization Name | GRAND ST PAUL CVS LLC |
Other Organization Name | CVS PHARMACY #16001 |
Practice Address |
1902 Miller Trunk Hwy Duluth MN 55811-1810 |
Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 2187278475 |
Practice Fax Number | 2182139525 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2016-11-14 |
Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
Authorized Official Telephone | 4017702751 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
264931 | MN | Suppliers |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2043864 | 01 |
Other Name | Type Code |
---|---|
CVS Pharmacy #16001 | 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 |
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 |
Street Address |
1902 MILLER TRUNK HWY |
City | DULUTH |
State | MN |
Zip Code | 55811-1810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992256978 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1902 Miller Trunk Hwy, Duluth, MN 55811-1810 | 2016-10-14 |
1316233562 | Gretchen Lynn Madson | Pharmacist | 1902 Miller Trunk Hwy, T-0004, Duluth, MN 55811-1810 | 2011-06-27 |
1194011742 | Barbara Jahn | Pharmacist | 1902 Miller Trunk Hwy, T-0004, Duluth, MN 55811-1810 | 2011-06-22 |
1154617710 | Lesley Caldwell | Pharmacist | 1902 Miller Trunk Hwy, T0004, Duluth, MN 55811-1810 | 2011-06-22 |
1922393198 | Kristine Marie Feiro | Pharmacist | 1902 Miller Trunk Hwy, Duluth, MN 55811-1810 | 2011-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
Find all providers in zip 55811 |
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 |
---|---|---|---|---|
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 |
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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.