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Grand St Paul Cvs Llc

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NPI Number Detailed Information

Provider Information:

Name: Grand St Paul Cvs Llc
Gender:
Provider License Number If Given: 340283

NPI Information:

NPI: 1396767075
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 7/24/2006

Last Update Date: 11/15/2016

Provider Business Mailing Address:

Address: 1 CVS DR MAIL CODE 1090
Woonsocket, RI 02895
Phone Number: 4017651500
Fax Number:

Provider Business Practice Location Address:

Address: 2140 S POKEGAMA AVE
Grand Rapids, MN 55744
Phone Number: 2183266412
Fax Number: 2183266412

Provider Taxonomy:

Primary: 3336C0003X
Secondary (if any): 332B00000X
State: MN

Top Doctors in MN

 

About Grand St Paul Cvs Llc

Grand St Paul Cvs Llc ( GRAND ST PAUL CVS LLC ) is A Pharmacy Provider in Grand Rapids, MN. The NPI Number for Grand St Paul Cvs Llc is 1396767075.
The current location address for Grand St Paul Cvs Llc is 2140 S POKEGAMA AVE Grand Rapids, MN 55744 and the contact number is 4017651500 and fax number is . The mailing address for Grand St Paul Cvs Llc is 1 CVS DR MAIL CODE 1090 Woonsocket, RI 02895- 2183266412 (mailing address contact number - 4017651500).
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Provider Business Location on Map

FAQs:

What is the NPI Number for Grand St Paul Cvs Llc ?


Answer: The NPI Number for Grand St Paul Cvs Llc is 1396767075

Where is Grand St Paul Cvs Llc located?


Answer: Grand St Paul Cvs Llc is located at 2140 S POKEGAMA AVE Grand Rapids, MN 55744.

What is the specialty for Grand St Paul Cvs Llc ?


Answer: The Specialty of Grand St Paul Cvs Llc is A Pharmacy Provider.

Are there any online reviews for Grand St Paul Cvs Llc ?


Answer: Not yet!

Are there any other health care providers in Grand Rapids, MN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Grand St Paul Cvs Llc

Number of HCPCS 12
Number of Medicare Beneficiaries 480
Number of Services 881
Total Submitted Charge Amount 38732.18
Total Medicare Allowed Amount 33821.82
Total Medicare Payment Amount 33821.82
Total Medicare Standardized Payment Amount 35467.18
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 6
Number of Medicare Beneficiaries With Drug Services 294
Number of Drug Services 299
Total Drug Submitted Charge Amount 19890.76
Total Drug Medicare Allowed Amount 19785.74
Total Drug Medicare Payment Amount 19785.74
Total Drug Medicare Standardized Payment Amount 19394.01
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 6
Number of Medicare Beneficiaries With Medical 480
Number of Medical Services 582
Total Medical Submitted Charge Amount 18841.42
Total Medical Medicare Allowed Amount 14036.08
Total Medical Medicare Payment Amount 14036.08
Total Medical Medicare Standardized Payment Amount 16073.17
Average Age of Beneficiaries 71
Number of Beneficiaries Age Less 65 17
Number of Beneficiaries Age 65 to 74 343
Number of Beneficiaries Age 75 to 84 107
Number of Beneficiaries Age Greater 84 13
Number of Female Beneficiaries 234
Number of Male Beneficiaries 246
Number of Non-Hispanic White Beneficiaries 460
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 13
Number of Beneficiaries With Medicare Only Entitlement 467
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.03
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.04
Percent (%) of Beneficiaries Identified With Heart Failure 0.04
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.11
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.03
Percent (%) of Beneficiaries Identified With Depression 0.08
Percent (%) of Beneficiaries Identified With Diabetes 0.14
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.24
Percent (%) of Beneficiaries Identified With Hypertension 0.27
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.17
Percent (%) of Beneficiaries Identified With Osteoporosis 0.03
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.16
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.6222

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Grand St Paul Cvs Llc
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