1. Home
  2. Directory
  3. Virginia
  4. Petersburg
  5. Pharmacy
  6. NPI Profile

GENOA HEALTHCARE LLC
NPI 1205405206
Pharmacy - Long Term Care Pharmacy in Petersburg, VA

Active since June 23, 2021
20 W BANK ST STE 6, PETERSBURG, VA 23803(804) 835-5425(804) 823-3345 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 12, 2024, Mar 23, 2023, Nov 4, 2022 and 1 more (4 updates tracked since 2021).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1205405206) is a healthcare organization registered as a long term care pharmacy in Petersburg, Virginia and active in the NPI registry since June 2021. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1205405206
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address20 W BANK ST STE 6Petersburg, VA 23803-3279
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Phone(804) 835-5425
Fax(804) 823-3345
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateJune 23, 2021
Last NPPES UpdateApril 12, 20244 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1205405206 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
20 W BANK ST STE 6, Petersburg, VA 23803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

SHEILA JACKSON BROWN LPC
Counselor (Professional)
20 W BANK ST STE 6
PETERSBURG, VA 23803
Dinwiddie County (804) 862-8002
EMILY DIANE JONES LCSW
Social Worker (Clinical)
20 W BANK ST STE 6
PETERSBURG, VA 23803
Dinwiddie County (804) 862-8000
DR. JACKSON ALLEN KICKLIGHTER PHARMD, MHA, BCMTMS
Pharmacist
20 W BANK ST STE 6
PETERSBURG, VA 23803
Dinwiddie County (804) 835-5425
CRYSTAL SUE LUCKETT SOLOMON LPC
Counselor (Professional)
20 W BANK ST STE 6
PETERSBURG, VA 23803
Dinwiddie County (804) 862-8000
HEATHER RENEE SCHWARTZ LCSW
Social Worker (Clinical)
20 W BANK ST STE 6
PETERSBURG, VA 23803
Dinwiddie County (804) 862-8002

Frequently Asked Questions

What is GENOA HEALTHCARE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1205405206, enumerated as an "organization" on June 23, 2021.

Where is the provider located?

The provider is located at 20 W BANK ST STE 6 PETERSBURG, VA 23803 and the phone number is (804) 835-5425.

What is the provider's specialty?

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

What insurance does GENOA HEALTHCARE LLC accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.