Grand St Paul CVS LLC
NPI 1508051582ActiveOrganization· Pharmacy· White Bear Lake, MN
Pharmacy in White Bear Lake, Minnesota, registered in NPPES in September 2007. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $75,254 for services to 288 patients in 2024.
Overview
| NPI | 1508051582 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2007 |
| Last updated in NPPES | Nov 18, 2010 |
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 · 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 | 288 |
|---|---|
| Services billed | 968 across 11 procedure codes |
| Paid by Medicare | $75,254 |
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