Active NPI
Grand St Paul CVS Stores LLC
Doing business as CVS Pharmacy
- Community/Retail Pharmacy
- Apple Valley, MN
National Provider Identifier
1699845776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 262915
- Legal business name
- GRAND ST PAUL CVS STORES LLC
- Doing business as
- CVS Pharmacy
- Practice address
- 15051 Galaxie Ave
Apple Valley, MN 55124-6987 - Phone
- (952) 432-3535
- NPI assigned
- Nov 8, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Mauricio
- Title
- Pharmacy Enrollment
- Phone
- (401) 765-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 262915 | MN | Primary |
Addresses
Primary practice location
15051 Galaxie Ave
Apple Valley, MN 55124-6987
Mailing address
15051 Galaxie Ave
Apple Valley, MN 55124-6987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2427765 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- CVS PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Grand St Paul CVS LLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
15051 Galaxie Ave
Apple Valley, MN 55124
Phone (952) 432-3535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699845776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15051 GALAXIE AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15051 GALAXIE AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246987",
"telephone_number": "952-432-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND ST PAUL CVS STORES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAURICIO",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "PHARMACY ENROLLMENT",
"authorized_official_telephone_number": "401-765-1500"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "262915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2427765",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.