Grand St. Paul CVS, L.L.C.
NPI 1003118696ActiveOrganization· Pharmacy· St. Michael, MN
Pharmacy in St. Michael, Minnesota, registered in NPPES in December 2010. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $43,005 for services to 160 patients in 2024.
Overview
| NPI | 1003118696 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2010 |
| Last updated in NPPES | Jul 11, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 550 across 10 procedure codes |
| Paid by Medicare | $43,005 |