GRAND ST PAUL CVS LLC


Address: 851 W 78th St, Chanhassen, MN 55317-9579
Phone: 9524701006

GRAND ST PAUL CVS LLC (NPI# 1588686265) 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) 1588686265
Entity Type Organization
Organization Name GRAND ST PAUL CVS LLC
Other Organization Name CVS PHARMACY #16300
Practice Address 851 W 78th St
Chanhassen
MN 55317-9579
Mailing Address 1 Cvs Dr
Mail Code 1090
Woonsocket
RI 02895-6146
Practice Telephone 9524701006
Practice Fax Number 9522771006
Mailing Telephone 4017651500
Enumeration Date 2006-07-24
Last Update Date 2016-11-15
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
360706 MN Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2047014 01
MN 680218400 05

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #16300 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 851 W 78TH ST
City CHANHASSEN
State MN
Zip Code 55317-9579

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962001388 Miles Renswick Pharmacist 851 W 78th St, Chanhassen, MN 55317-9579 2020-10-19
1184259814 Alexander George Cole Pharmacist 851 W 78th St, Chanhassen, MN 55317-9579 2020-03-03
1659721264 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 851 W 78th St, Chanhassen, MN 55317-9579 2016-06-14
1023450467 Boyd Douglas Higgins Pharmacist 851 W 78th St, Chanhassen, MN 55317-9579 2013-07-26
1154676708 Emily A Hoffman Pharmacist 851 W 78th St, T0862, Chanhassen, MN 55317-9579 2012-07-19
1366737736 Corwin Gellner Pharmacist 851 W 78th St, T-0862, Chanhassen, MN 55317-9579 2011-06-14
1114212586 Amy Elisabeth Jones Pharmacist 851 W 78th St, T-0862, Chanhassen, MN 55317-9579 2011-06-14
1881988228 Christine L, Joyce Pharmacist 851 W 78th St, T-0862, Chanhassen, MN 55317-9579 2011-06-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801245717 Thaddeus Sharikov Chiropractor 7945 Stone Creek Dr. Ste 120, Chanhassen, MN 55317 2016-06-10
1720461668 Steven C Witmer Counselor Northstar Regional Counseling, 7945 Stone Creek Drive Suite 140, Chanhassen, MN 55317 2015-07-08
1194078584 Kentaro Ishikawa Dentist 190 Lake Dr E, Ste 130, Chanhassen, MN 55317 2012-10-22
1356559983 Rtgmedical General Acute Care Hospital 2186 Baneberry Way W, Chanhassen, MN 55317 2007-05-18
1528273299 Cam-tu Nguyen Dalluge Dentist 500 West 79th Street, Radiance Dental, Chanhassen, MN 55317 2007-05-14
1194938910 Sheri Hinrichs Psychologist 600 W. 78th St. #220, Chanhassen, MN 55317 2007-05-08
1891833059 Great Plains Dental Dentist 500 W 79th St, Chanhassen, MN 55317 2007-02-01
1073665014 Judith Aarsvold Indrelie Psychologist 600 West 78th Street, Chanhassen, MN 55317 2007-01-18
1285709410 Diane Patricia O'grady Psychiatry & Neurology 7945 Stone Creek Drive, Suite 130, Chanhassen, MN 55317 2006-11-22
1114097425 Michael Jeffery Leonard Dentist 80 West 78th Street, Chanhassen, MN 55317 2006-11-08
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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
1568547487 Byerlys Inc Pharmacy 800 W 78th St, Chanhassen, MN 55317-9578 2006-10-26
1427165141 Park Nicollet Health Care Products Pharmacy 300 Lake Dr E, Chanhassen, MN 55317-9302 2006-08-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861033276 Nina Marie Kleinschmidt Pharmacy 1315 Minnesota Ave, Detroit Lakes, MN 56501-3913 2019-10-07
1659837698 Bpoint Pharmacy Services Ltd Pharmacy 30833 North Star Dr, Suite 2, Breezy Point, MN 56472 2019-02-14
1477042372 Sanford Clinic North Pharmacy 1611 Anne St Nw Ste 1, Bemidji, MN 56601-5114 2018-05-07
1295222909 A & E Pharmacy LLC Pharmacy 1509 10th Ave S, Minneapolis, MN 55404-1754 2018-04-18
1215445085 Genoa Healthcare LLC Pharmacy 8441 Wayzata Blvd, Suite 340, Golden Valley, MN 55426-1372 2018-01-16
1497279608 Coborns Inc Pharmacy 110 1st St S Ste B, Sauk Rapids, MN 56379-1404 2017-07-29
1740711753 Hennepin Healthcare System Inc Pharmacy 800 Washington Ave N Ste 190, Minneapolis, MN 55401-1330 2017-03-22
1568903532 First Choice Pharmacy of Jordan PC Pharmacy 165 West Commerce Drive, Suite 110, Belle Plaine, MN 56011 2017-03-10
1013454545 Genesis Recovery Services, LLC Pharmacy 5 N 3rd Ave W Ste 302, Duluth, MN 55802-1614 2017-01-23
1104360973 Group Health Plan, Inc. Pharmacy 3800 Park Nicollet Blvd Ste 1170, St Louis Park, MN 55416-2527 2016-12-13
Find all providers with the same taxonomy

Competitor

Search similar providers

City CHANHASSEN
Zip Code 55317

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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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