Grand St Paul Cvs LLC
Grand St Paul Cvs LLC is a healthcare organization registered as Pharmacy in Eagan, MN, holding Type 2 (organization) NPI 1043310485 since 2006. The authorized official on file is Susan Colbert, Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043310485 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Grand St Paul Cvs LLC |
| Other name | <Unavail> |
| Practice address | 4241 JOHNNY CAKE RIDGE RD, Eagan, MN, 55122 |
| Phone | 6516887041 |
| Enumeration date | 2006-09-25 |
| Last updated in NPPES | 2022-06-22 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 262487-9 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2426181 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Grand St Paul Cvs LLC NPI: 1043310485 Taxonomy: 333600000X (Pharmacy) Address: 4241 JOHNNY CAKE RIDGE RD, Eagan, MN, 55122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538135934 | Rachel Marshall | Individual | Physician Assistant | Eagan, MN |
| 1134465065 | Abby Roth | Individual | Family Nurse Practitioner | Eagan, MN |
| 1013324003 | Rebecca Hooper | Individual | Physician Assistant | Eagan, MN |
| 1689077232 | Theresa Hurley | Individual | Nurse Practitioner | Eagan, MN |
| 1801276621 | Tonara Hing | Individual | Family Nurse Practitioner | Eagan, MN |
| 1407227945 | Minuteclinic Diagnostic of Minnesota, P.A. | Organization | Family Nurse Practitioner | Eagan, MN |
| 1417448580 | Nicole Dray | Individual | Family Nurse Practitioner | Eagan, MN |
| 1821623190 | Melissa Hulscher | Individual | Pharmacist | Eagan, MN |
Verify this record
Cross-check NPI 1043310485 against the authoritative CMS record: view Grand St Paul Cvs LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Grand St Paul Cvs LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-22.