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GRAND ST PAUL CVS LLC NPI 1154510014


NPI Information

NPI: 1154510014
Provider Name: GRAND ST PAUL CVS LLC

Doing Business As: CVS PHARMACY # 01995

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
15115 DOVE TRAIL
APPLE VALLEY, MN
ZIP 55124
Phone: (952) 423-3200
Get Directions

GRAND ST PAUL CVS LLC is a pharmacy in Apple Valley, MN. The provider is 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. GRAND ST PAUL CVS LLC NPI is 1154510014. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 01995.

The provider's business location address is:

15115 DOVE TRAIL
APPLE VALLEY, MN
ZIP 55124
Phone: (952) 423-3200

The provider's authorized official is Susan Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 11/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1730000099MEDICARE PIN
2734475100MEDICAIDMINNESOTA
32428490OTHERMINNESOTACOMMERCIAL NUMBER
45603920013MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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