Grand St Paul CVS LLC
NPI 1225336894ActiveOrganization· Pharmacy· St Louis Park, MN
Pharmacy in St Louis Park, Minnesota, registered in NPPES in March 2011. The authorized official on file is Susan F. Colbert, Director. Medicare paid $100,306 for services to 379 patients in 2024.
Overview
| NPI | 1225336894 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2011 |
| Last updated in NPPES | Jul 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 379 |
|---|---|
| Services billed | 1,248 across 12 procedure codes |
| Paid by Medicare | $100,306 |
Other Pharmacy providers in St Louis Park
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