Grand St Paul CVS LLC
NPI 1700936044ActiveOrganization· Pharmacy· Monticello, MN
Pharmacy in Monticello, Minnesota, registered in NPPES in January 2007. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $44,426 for services to 161 patients in 2024.
Overview
| NPI | 1700936044 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2007 |
| Last updated in NPPES | Nov 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 262973 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 161 |
|---|---|
| Services billed | 568 across 11 procedure codes |
| Paid by Medicare | $44,426 |
Other Pharmacy providers in Monticello
- 1457692717
- 1598096117