Grand St Paul CVS LLC
NPI 1487065983ActiveOrganization· Pharmacy· Minneapolis, MN
Pharmacy in Minneapolis, Minnesota, registered in NPPES in May 2014. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $26,482 for services to 92 patients in 2024.
Overview
| NPI | 1487065983 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2014 |
| Last updated in NPPES | Nov 15, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 264501 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 92 |
|---|---|
| Services billed | 334 across 10 procedure codes |
| Paid by Medicare | $26,482 |
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