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Grand St Paul Cvs LLC

Pharmacy in Rogers, 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

1952323644

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Registry record

Entity type Organization (Type 2)
Legal business name Grand St Paul Cvs LLC
Other name <Unavail>
Practice address 21615 S Diamond Lake Rd, Rogers, MN, 55374
Phone (763) 428-6392
Fax (763) 898-5508
Enumeration date Jul 24, 2006
Last updated in NPPES Nov 15, 2016

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Primary
3336C0003X Community/Retail Pharmacy Suppliers · License 11720 (MN) Secondary

Authorized official

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

Other identifiers

Identifier Type State Issuer
232304400 Medicaid MN -
2048308 Other - PK

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

Where is Grand St Paul Cvs LLC located?
The practice location on file with NPPES is in Rogers, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-11-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-15.