Grand St Paul CVS, LLC
NPI 1063759546ActiveOrganization· Pharmacy· St. Cloud, MN
Pharmacy in St. Cloud, Minnesota, registered in NPPES in January 2013. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $58,304 for services to 234 patients in 2024.
Overview
| NPI | 1063759546 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2013 |
| Last updated in NPPES | Apr 12, 2013 |
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 | 234 |
|---|---|
| Services billed | 744 across 10 procedure codes |
| Paid by Medicare | $58,304 |