Grand St Paul Cvs Llc
Pharmacy
21615 S Diamond Lake Rd, Rogers
Minnesota, 55374-8893
763-428-6392 763-898-5508
Grand St Paul Cvs Llc is a Pharmacy in Rogers, Minnesota. It is located at 21615 S Diamond Lake Rd, Rogers and it's customer support contact number is 763-428-6392. The authorized person of Grand St Paul Cvs Llc is Susan Colbert who is Sr. Director, Payer Relations of the pharmacy and his contact number is 401-770-2751. Grand St Paul Cvs Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Grand St Paul Cvs Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Grand St Paul Cvs Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Grand St Paul Cvs Llc |
| Type: | Pharmacy |
| Location: | 21615 S Diamond Lake Rd, Rogers,
Minnesota, 55374-8893 |
| Phone: | 763-428-6392 |
| Fax: | 763-898-5508 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Susan Colbert |
| Position: | Sr. Director, Payer Relations |
| Contact Number: | 401-770-2751 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1952323644 |
| NPI Enumeration Date: | 24 Jul, 2006 |
| NPI Last Update On: | 15 Nov, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand St Paul Cvs Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
| Community/Retail Pharmacy | 11720 | Minnesota | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 232304400 | Medicaid | Minnesota | |
| 2048308 | Other | | Pk |
Medicare Enrollment:
Grand St Paul Cvs Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4688875156 | O20161006001145 | Grand St Paul Cvs Llc | DME SUPPLIER - PHARMACY |
Products Available:
Grand St Paul Cvs Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Ostomy Supplies | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1 Cvs Dr, Mail Code 1090
Woonsocket, Rhode Island |
| Zip: | 02895-6146 |
| Phone Number: | 401-765-1500 |
Patients can reach Grand St Paul Cvs Llc at
21615 S Diamond Lake Rd, Rogers, Minnesota or can
call on customer care at 763-428-6392.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.