Grand St Paul CVS LLC
NPI 1770770828ActiveOrganization· Pharmacy· Farmington, MN
Pharmacy in Farmington, Minnesota, registered in NPPES in October 2007. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $48,335 for services to 184 patients in 2024.
Overview
| NPI | 1770770828 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2007 |
| Last updated in NPPES | Nov 18, 2010 |
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 | 184 |
|---|---|
| Services billed | 628 across 12 procedure codes |
| Paid by Medicare | $48,335 |