Grand St Paul CVS LLC
NPI 1629226626ActiveOrganization· Pharmacy· Waconia, MN
Pharmacy in Waconia, Minnesota, registered in NPPES in September 2008. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $59,900 for services to 232 patients in 2024.
Overview
| NPI | 1629226626 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2008 |
| Last updated in NPPES | Nov 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 263240 | 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 | 232 |
|---|---|
| Services billed | 762 across 10 procedure codes |
| Paid by Medicare | $59,900 |
Other pharmacies in Waconia
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