Grand St Paul CVS LLC
NPI 1700180692ActiveOrganization· Pharmacy· Mankato, MN
Pharmacy in Mankato, Minnesota, registered in NPPES in January 2011. The authorized official on file is Susan F. Colbert, Sr. Director, Payer Relations. Medicare paid $73,671 for services to 282 patients in 2024.
Overview
| NPI | 1700180692 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2011 |
| Last updated in NPPES | Aug 2, 2024 |
| Certified by provider | Aug 2, 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 · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 282 |
|---|---|
| Services billed | 964 across 12 procedure codes |
| Paid by Medicare | $73,671 |
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