Grand St. Paul CVS LLC
NPI 1679949028ActiveOrganization· Pharmacy· Bemidji, MN
Pharmacy in Bemidji, Minnesota, registered in NPPES in August 2015. The authorized official on file is Susan F. Colbert, Sr. Director. Medicare paid $56,635 for services to 207 patients in 2024.
Overview
| NPI | 1679949028 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2015 |
| Last updated in NPPES | Dec 17, 2015 |
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 | 207 |
|---|---|
| Services billed | 726 across 11 procedure codes |
| Paid by Medicare | $56,635 |
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