Grand St Paul CVS LLC
NPI 1013141001ActiveOrganization· Pharmacy· Woodbury, MN
Pharmacy in Woodbury, Minnesota, registered in NPPES in May 2009. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $58,649 for services to 231 patients in 2024.
Overview
| NPI | 1013141001 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2009 |
| Last updated in NPPES | Mar 7, 2012 |
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 · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 231 |
|---|---|
| Services billed | 748 across 9 procedure codes |
| Paid by Medicare | $58,649 |
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