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Grand St Paul Cvs LLC

Pharmacy in Blaine, MN · enumerated 2006 · authorized official Susan Colbert, Sr. Director, Payer Relations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215959903

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Registry record

Entity type Organization (Type 2)
Legal business name Grand St Paul Cvs LLC
Other name <Unavail>
Practice address 1500 109th Ave Ne, Blaine, MN, 55449
Phone (763) 354-1001
Fax (763) 354-1001
Enumeration date Jul 24, 2006
Last updated in NPPES Nov 21, 2016

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Primary
3336C0003X Community/Retail Pharmacy Suppliers · License 616834 (MN) Secondary

Authorized official

Name Susan Colbert
Title Sr. Director, Payer Relations
Phone (401) 770-2751

Other identifiers

Identifier Type State Issuer
692677100 Medicaid MN -
2048459 Other - PK

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.

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Frequently asked questions

Who is the authorized official for Grand St Paul Cvs LLC?
NPPES lists Susan Colbert (Sr. Director, Payer Relations) as the authorized official for this organization.
What is the NPI number for Grand St Paul Cvs LLC?
The NPI for Grand St Paul Cvs LLC is 1215959903, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-21.