Grand St Paul Cvs LLC
Grand St Paul Cvs LLC is a healthcare organization registered as Pharmacy in Champlin, MN, holding Type 2 (organization) NPI 1306868096 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1306868096 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Grand St Paul Cvs LLC |
| Other name | <Unavail> |
| Practice address | 11990 BUSINESS PARK BLVD N, Champlin, MN, 55316 |
| Phone | 7633541007 |
| Fax | 7633541526 |
| Enumeration date | 2006-07-24 |
| Last updated in NPPES | 2016-11-21 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. 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 | 615766 | MN |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094923000 | Medicaid | MN | — |
| 2048458 | Other | — | PK |
Copy-ready billing details
Provider: Grand St Paul Cvs LLC NPI: 1306868096 Taxonomy: 333600000X (Pharmacy) Address: 11990 BUSINESS PARK BLVD N, Champlin, MN, 55316
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720042625 | Jan Youngblood | Individual | Family Nurse Practitioner | Champlin, MN |
| 1750433298 | Luxottica of America Inc | Organization | Eyewear Supplier | Champlin, MN |
| 1245524511 | Chad Lachowitzer | Individual | Pharmacist | Champlin, MN |
| 1336433325 | Kristi Kadrmas | Individual | Pharmacist | Champlin, MN |
| 1356620546 | Katherine Jones | Individual | Pharmacist | Champlin, MN |
| 1699028761 | Carolyn Gilbertson | Individual | Pharmacist | Champlin, MN |
| 1730429564 | Shawn Murphy | Individual | Pharmacist | Champlin, MN |
| 1366886202 | Brian Falbo | Individual | Pharmacist | Champlin, MN |
Verify this record
Cross-check NPI 1306868096 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 the NPI number for Grand St Paul Cvs LLC?
Who is the authorized official for Grand St Paul Cvs LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-21.