Grand St Paul CVS LLC
NPI 1578821245ActiveOrganization· Pharmacy· Minneapolis, MN
Pharmacy in Minneapolis, Minnesota, registered in NPPES in May 2012. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $11,254 for services to 44 patients in 2024.
Overview
| NPI | 1578821245 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2012 |
| Last updated in NPPES | Jul 18, 2024 |
| Certified by provider | Jul 18, 2024 |
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 | 44 |
|---|---|
| Services billed | 136 across 8 procedure codes |
| Paid by Medicare | $11,254 |
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