CVS PHARMACY # 02152
NPI 1861760738
Pharmacy in Richfield, MN

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

The NPI number for Grand St Paul CVS LLC is 1861760738. It was assigned to this organization in the NPPES registry on December 7, 2011. The provider is doing business as CVS Pharmacy # 02152.

Q: What is Grand St Paul CVS LLC's specialty?

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

Active since December 07, 2011

6540 PENN AVE S, RICHFIELD, MN 55423(612) 866-3040 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cvs Pharmacy # 02152 NPPES

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

CVS PHARMACY # 02152 (NPI 1861760738) is a healthcare organization registered as a pharmacy in Richfield, Minnesota and active in the NPI registry since December 2011. The organization lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1861760738

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameGRAND ST PAUL CVS LLC

Location Address6540 PENN AVE SRichfield, MN 55423-1143

Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108

Phone(612) 866-3040

Organization SubpartNo

Authorized OfficialSusan ColbertDirector · (401) 765-1500

Enumeration DateDecember 7, 2011

Last NPPES UpdateMay 8, 2012

✔ NPI 1861760738 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

6540 PENN AVE S, Richfield, MN 55423

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Other Names 1

Doing Business AsCvs Pharmacy # 02152

Other Identifiers 4

Medicare PIN730000099MN

Other2431156MN · Ncpdp

Medicare NSC5603920053MN

Medicaid1861760738MN

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 4

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.

235 services234 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.

154 services154 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.

67 services67 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy # 02152 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 02152

DMEPOS supplier · Richfield, MNOperated by Grand St Paul CVS LLC

✔

Accepts Medicare assignment

CVS Pharmacy # 02152 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)20330177

Medicare Participant SinceJanuary 1, 2023

Supplier Location6540 Penn Ave SRichfield, MN 55423

Phone(612) 866-3040

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.

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE KERSTI DAVENPORT PHARMD

Pharmacist