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Grand St. Paul Cvs LLC

Pharmacy in Bloomington, MN · enumerated 2011 · authorized official Susan Colbert, Director, Payer Relations.

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

National Provider Identifier

1497042899

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Registry record

Entity type Organization (Type 2)
Legal business name Grand St. Paul Cvs LLC
Other name <Unavail>
Practice address 8936 Lyndale Ave S, Bloomington, MN, 55420
Phone (401) 765-1500
Enumeration date Jul 6, 2011
Last updated in NPPES Mar 7, 2012

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Susan Colbert
Title Director, Payer Relations
Phone (401) 765-1500

Other identifiers

Identifier Type State Issuer
1497042899 Medicaid MN -
2430914 Other - NCPDP

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-03-07. Verify at npiregistry.cms.hhs.gov.
Where is Grand St. Paul Cvs LLC located?
The practice location on file with NPPES is in Bloomington, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-07.