Grand St Paul CVS LLC
NPI 1487131330ActiveOrganization· Pharmacy· Brooklyn Park, MN
Pharmacy in Brooklyn Park, Minnesota, registered in NPPES in July 2018. The authorized official on file is Susan F. Colbert, Sr Director. Medicare paid $35,703 for services to 131 patients in 2024.
Overview
| NPI | 1487131330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2018 |
| Last updated in NPPES | Oct 26, 2023 |
| Certified by provider | Oct 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | MN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | MN |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | 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 | 131 |
|---|---|
| Services billed | 456 across 12 procedure codes |
| Paid by Medicare | $35,703 |
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