Grand St Paul CVS LLC
NPI 1316131204ActiveOrganization· Pharmacy· Rochester, MN
Pharmacy in Rochester, Minnesota, registered in NPPES in September 2007. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $63,045 for services to 238 patients in 2024.
Overview
| NPI | 1316131204 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2007 |
| Last updated in NPPES | Nov 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 263090 | MN |
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 | 238 |
|---|---|
| Services billed | 800 across 11 procedure codes |
| Paid by Medicare | $63,045 |
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