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CVS PHARMACY # 01776
NPI 1508051582
Pharmacy in White Bear Lake, MN

Active since September 12, 2007
2730 COUNTY ROAD EAST, WHITE BEAR LAKE, MN 55110(651) 777-6816 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy # 01776 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY # 01776 (NPI 1508051582) is a healthcare organization registered as a pharmacy in White Bear Lake, Minnesota and active in the NPI registry since September 2007. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1508051582
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGRAND ST PAUL CVS LLC
Location Address2730 COUNTY ROAD EASTWhite Bear Lake, MN 55110
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(651) 777-6816
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2007
Last NPPES UpdateNovember 18, 2010
✔ NPI 1508051582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2730 COUNTY ROAD EAST, White Bear Lake, MN 55110
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Other Names 1

Doing Business AsCvs Pharmacy # 01776

Other Identifiers 2

Medicare NSC5603920012
Medicare PIN730000099

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
221 services220 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
115 services115 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
98 services98 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #01776 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #01776

DMEPOS supplier · White Bear Lake, MNOperated by Grand St Paul CVS LLC
✔

Accepts Medicare assignment

CVS Pharmacy #01776 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20330105
Medicare Participant SinceJanuary 1, 2023
Supplier Location2730 County Road E EWhite Bear Lake, MN 55110
Phone(651) 777-6816
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand St Paul CVS LLC's NPI number?

The NPI number for Grand St Paul CVS LLC is 1508051582. It was assigned to this organization in the NPPES registry on September 12, 2007. The provider is doing business as CVS Pharmacy # 01776.

Where is Grand St Paul CVS LLC located?

Grand St Paul CVS LLC is located at 2730 County Road East, White Bear Lake, MN 55110. The listed phone number is (651) 777-6816.

What is Grand St Paul CVS LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Grand St Paul CVS LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #01776 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Grand St Paul CVS LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Grand St Paul CVS LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand St Paul CVS LLC was last updated on November 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.