Grand St Paul CVS LLC
NPI 1437620903ActiveOrganization· Pharmacy· Plymouth, MN
Pharmacy in Plymouth, Minnesota, registered in NPPES in December 2018. The authorized official on file is Susan F. Colbert, Sr Director. Medicare paid $112,260 for services to 427 patients in 2024.
Overview
| NPI | 1437620903 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 10, 2018 |
| Last updated in NPPES | Feb 5, 2019 |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 427 |
|---|---|
| Services billed | 1,426 across 12 procedure codes |
| Paid by Medicare | $112,260 |
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