Grand St Paul CVS LLC
NPI 1942471933ActiveOrganization· Pharmacy· West Saint Paul, MN
Pharmacy in West Saint Paul, Minnesota, registered in NPPES in March 2008. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $62,275 for services to 245 patients in 2024.
Overview
| NPI | 1942471933 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2008 |
| Last updated in NPPES | Nov 17, 2022 |
| Certified by provider | Nov 17, 2022 |
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 | 245 |
|---|---|
| Services billed | 802 across 11 procedure codes |
| Paid by Medicare | $62,275 |
Other Pharmacy providers in West Saint Paul
- 1285656959
- 1134134448