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Grand St Paul Cvs LLC

Pharmacy in Lakeville, MN · enumerated 2008 · authorized official Susan Colbert, Director, Payer Relations.

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

National Provider Identifier

1619147923

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Registry record

Entity type Organization (Type 2)
Legal business name Grand St Paul Cvs LLC
Other name <Unavail>
Practice address 17665 Kenwood Trl, Lakeville, MN, 55044
Phone (952) 435-3784
Enumeration date Mar 4, 2008
Last updated in NPPES Nov 19, 2010

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) 770-2751

Other identifiers

Identifier Type State Issuer
2428755 Other MN COMMERCIAL NUMBER
344132000 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-11-19. Verify at npiregistry.cms.hhs.gov.
Where is Grand St Paul Cvs LLC located?
The practice location on file with NPPES is in Lakeville, MN.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-19.