Grand St. Paul CVS LLC
NPI 1356639124ActiveOrganization· Pharmacy· Edina, MN
Pharmacy in Edina, Minnesota, registered in NPPES in July 2011. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $92,491 for services to 370 patients in 2024.
Overview
| NPI | 1356639124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2011 |
| Last updated in NPPES | Dec 30, 2011 |
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 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); Part B Supplier - Mass Immunization (Roster Biller Only) (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 370 |
|---|---|
| Services billed | 1,182 across 11 procedure codes |
| Paid by Medicare | $92,491 |
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