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Grand St Paul Cvs LLC

Pharmacy in Cambridge, 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

1407878192

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Registry record

Entity type Organization (Type 2)
Legal business name Grand St Paul Cvs LLC
Other name <Unavail>
Practice address 215 Balsam St N Ste 100, Cambridge, MN, 55008
Phone (763) 689-3687
Fax (763) 237-3417
Enumeration date Jul 24, 2006
Last updated in NPPES Jan 19, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Primary
3336C0003X Community/Retail Pharmacy Suppliers · License 39384 (MN) Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
2048174 Other - PK
570035300 Medicaid MN -

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

What is the NPI number for Grand St Paul Cvs LLC?
The NPI for Grand St Paul Cvs LLC is 1407878192, a Type 2 (organization) record in the CMS NPPES registry.
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.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-01-19.