Grand St Paul CVS LLC
NPI 1083784029ActiveOrganization· Pharmacy· Apple Valley, MN
Pharmacy in Apple Valley, Minnesota, registered in NPPES in November 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $109,955 for services to 424 patients in 2024.
Overview
| NPI | 1083784029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2006 |
| Last updated in NPPES | Nov 18, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 262915 | MN |
| 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 | 424 |
|---|---|
| Services billed | 1,420 across 11 procedure codes |
| Paid by Medicare | $109,955 |
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