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GENOA HEALTHCARE, LLC
NPI 1083289698
Pharmacy - Long Term Care Pharmacy in Phoenix, AZ

Active since May 25, 2021
1101 N CENTRAL AVE, PHOENIX, AZ 85004(253) 218-0830 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genoa Healthcare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENOA HEALTHCARE, LLC (NPI 1083289698) is a healthcare organization registered as a long term care pharmacy in Phoenix, Arizona and active in the NPI registry since May 2021. The organization lists Natasha Hennessy, Chief Pharmacy Officer, as its authorized official.

NPPES Registry Identity

NPI1083289698
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE, LLC
Location Address1101 N CENTRAL AVEPhoenix, AZ 85004-1808
Mailing Address707 S Grady Way Ste 700Renton, WA 98057-3243
Phone(253) 218-0830
Organization SubpartNo
Authorized OfficialNatasha HennessyChief Pharmacy Officer · (651) 302-3111
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1083289698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1101 N CENTRAL AVE, Phoenix, AZ 85004
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHEL'SEA RYAN LCSW
Social Worker (Clinical)
1101 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 595-8145
MRS. JOY LYNNE GOLDEN LCSW
Social Worker (Clinical)
1101 N CENTRAL AVE, SUITE 100
PHOENIX, AZ 85004
Maricopa County (678) 485-6775
GENOA HEALTHCARE LLC
Pharmacy (Community/Retail Pharmacy)
1101 N CENTRAL AVE, STE 102
PHOENIX, AZ 85004
Maricopa County (602) 257-1133
FAITH M CARROLL N.P.
Nurse Practitioner (Psychiatric/Mental Health)
1101 N CENTRAL AVE, STE 200
PHOENIX, AZ 85004
Maricopa County (602) 307-5330
MRS. ANN MARIE BERGREN MSN FNP
Nurse Practitioner (Family)
1101 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (480) 344-6550
MRS. BIANCA JASMIN MCCONNELL-HOFF LPC
Counselor (Mental Health)
1101 N CENTRAL AVE
PHOENIX, AZ 85004
Maricopa County (602) 307-5330
DR. CAROLYN M FULLER ND
Naturopath
1101 N CENTRAL AVE, #200
PHOENIX, AZ 85004
Maricopa County (602) 307-5330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genoa Healthcare, LLC's NPI number?

The NPI number for Genoa Healthcare, LLC is 1083289698. It was assigned to this organization in the NPPES registry on May 25, 2021.

Where is Genoa Healthcare, LLC located?

Genoa Healthcare, LLC is located at 1101 N Central Ave, Phoenix, AZ 85004. The listed phone number is (253) 218-0830.

What is Genoa Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Genoa Healthcare, LLC was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.