Grand St Paul CVS LLC
NPI 1174065007ActiveOrganization· Pharmacy· Saint Paul, MN
Pharmacy in Saint Paul, Minnesota, registered in NPPES in November 2016. The authorized official on file is Susan Colbert, Sr. Director. Medicare paid $167,504 for services to 609 patients in 2024.
Overview
| NPI | 1174065007 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2016 |
| Last updated in NPPES | Apr 4, 2017 |
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 | 609 |
|---|---|
| Services billed | 2,108 across 12 procedure codes |
| Paid by Medicare | $167,504 |
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