Grand St Paul Cvs LLC
Grand St Paul Cvs LLC is a healthcare organization registered as Pharmacy in Saint Cloud, MN, holding Type 2 (organization) NPI 1205858982 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205858982 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Grand St Paul Cvs LLC |
| Other name | <Unavail> |
| Practice address | 125 LINCOLN AVE SE, Saint Cloud, MN, 56304 |
| Phone | 3206540712 |
| Fax | 3203459725 |
| Enumeration date | 2006-07-24 |
| Last updated in NPPES | 2016-11-15 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | 2611390 | MN |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291019500 | Medicaid | MN | — |
| 2047355 | Other | — | PK |
Copy-ready billing details
Provider: Grand St Paul Cvs LLC NPI: 1205858982 Taxonomy: 333600000X (Pharmacy) Address: 125 LINCOLN AVE SE, Saint Cloud, MN, 56304
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083909485 | Anne Skoe | Individual | Pharmacist | Saint Cloud, MN |
| 1740576818 | Daniel Nelson | Individual | Pharmacist | Saint Cloud, MN |
| 1932495009 | Angela Nelson | Individual | Pharmacist | Saint Cloud, MN |
| 1437613981 | Jessica Tadych | Individual | Pharmacist | Saint Cloud, MN |
Verify this record
Cross-check NPI 1205858982 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
What is a Type 2 NPI?
What type of organization is Grand St Paul Cvs LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-15.