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 1225050909 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1225050909 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Grand St Paul Cvs LLC |
| Other name | <Unavail> |
| Practice address | 2000 CLIFF LAKE RD, Eagan, MN, 55122 |
| Phone | 6516888947 |
| Fax | 6512342927 |
| Enumeration date | 2006-07-24 |
| Last updated in NPPES | 2016-11-14 |
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 | 552367 | MN |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2046604 | Other | — | PK |
| 344860600 | Medicaid | MN | — |
Copy-ready billing details
Provider: Grand St Paul Cvs LLC NPI: 1225050909 Taxonomy: 333600000X (Pharmacy) Address: 2000 CLIFF LAKE RD, Eagan, MN, 55122
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902191380 | James Nissen | Individual | Pharmacist | Eagan, MN |
| 1528353646 | Don Lehn | Individual | Pharmacist | Eagan, MN |
| 1376890541 | Melissa Miller | Individual | Pharmacist | Eagan, MN |
| 1649688508 | Brittney Smith | Individual | Pharmacist | Eagan, MN |
| 1285239897 | Latisha Bickford | Individual | Pharmacist | Eagan, MN |
Verify this record
Cross-check NPI 1225050909 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
Who is the authorized official for Grand St Paul Cvs LLC?
What is the NPI number for Grand St Paul Cvs LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-14.