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GENOA HEALTHCARE LLC
NPI 1104793975
Pharmacy - Long Term Care Pharmacy in Columbus, MS

Active since October 17, 2025
1001 MAIN ST RM P, COLUMBUS, MS 39701(800) 519-1139 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1104793975) is a healthcare organization registered as a long term care pharmacy in Columbus, Mississippi and active in the NPI registry since October 2025. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1104793975
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address1001 MAIN ST RM PColumbus, MS 39701-4751
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3201 · (253) 218-0830 · Fax (253) 217-4306
Phone(800) 519-1139
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1104793975 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
1001 MAIN ST RM P, Columbus, MS 39701
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Frequently Asked Questions

What is GENOA HEALTHCARE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1104793975, enumerated as an "organization" on October 17, 2025.

Where is the provider located?

The provider is located at 1001 MAIN ST RM P COLUMBUS, MS 39701 and the phone number is (800) 519-1139.

What is the provider's specialty?

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.