GRAND ST PAUL CVS LLC


Address: 1902 Miller Trunk Hwy, Duluth, MN 55811-1810
Phone: 2187278475

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PK 2043864 01

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #16001 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
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

Office Location

Street Address 1902 MILLER TRUNK HWY
City DULUTH
State MN
Zip Code 55811-1810

Providers in the same location

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

Providers in the same zip code

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
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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
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Competitor

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City DULUTH
Zip Code 55811

Improve Information

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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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