GRAND ST PAUL CVS LLC – NPI #1487131330
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.

GRAND ST PAUL CVS LLC is a pharmacy located in BROOKLYN PARK, MN. NPPES has assigned the NPI number 1487131330 to GRAND ST PAUL CVS LLC on July 24, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 3 years ago on Oct 26, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAND ST PAUL CVS LLC below.

NPI Profile for
GRAND ST PAUL CVS LLC

NPI Number
1487131330
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRAND ST PAUL CVS LLC
Primary location
4400 OAK GROVE PARKWAY
BROOKLYN PARK, MN 55443
Phone: (763) 315-1935 Fax:
Mailing address
1 CVS DR # 1075
WOONSOCKET, RI 02895-6146
Phone: (401) 765-1500 Fax:
Organization Subpart
No
Authorized Official
SUSAN COLBERT
SR DIRECTOR
Phone: (401) 770-2751
Updated
Certification Date
Oct 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
MN
3336C0003X
- Pharmacy / Community/Retail Pharmacy
MN
332B00000X
- Durable Medical Equipment & Medical Supplies
MN

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.