Grand St Paul CVS LLC
NPI 1194126995ActiveOrganization· Pharmacy· Hastings, MN
Pharmacy in Hastings, Minnesota, registered in NPPES in September 2014. The authorized official on file is Susan Colbert, Director. Medicare paid $100,188 for services to 373 patients in 2024.
Overview
| NPI | 1194126995 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2014 |
| Last updated in NPPES | Feb 12, 2015 |
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 | 373 |
|---|---|
| Services billed | 1,306 across 11 procedure codes |
| Paid by Medicare | $100,188 |
Other Pharmacy providers in Hastings
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