Grand St Paul CVS LLC
NPI 1952715096ActiveOrganization· Pharmacy· Duluth, MN
Pharmacy in Duluth, Minnesota, registered in NPPES in June 2014. The authorized official on file is Susan F. Colbert, Director. Medicare paid $139,083 for services to 492 patients in 2024.
Overview
| NPI | 1952715096 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2014 |
| Last updated in NPPES | Jan 21, 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 · 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 | 492 |
|---|---|
| Services billed | 1,750 across 11 procedure codes |
| Paid by Medicare | $139,083 |
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