GENOA HEALTHCARE, LLC NPI 1235519414
Pharmacy (Long Term Care Pharmacy) in Bessemer, AL
About GENOA HEALTHCARE, LLC
Genoa Healthcare, Llc is a provider established in Bessemer, Alabama specializing in pharmacy (long term care pharmacy) . The NPI number of Genoa Healthcare, Llc is 1235519414 and was assigned on June 2015. The practitioner's primary taxonomy code is 3336L0003X with license number 114323 (AL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Joseph Douglas (Ceo)
| NPI | 1235519414 |
| Provider Name | GENOA HEALTHCARE, LLC |
| Provider Location Address | 2201 ARLINGTON AVE STE B BESSEMER, AL 35020 |
| Provider Mailing Address | 707 S GRADY WAY STE 700 RENTON, WA 98057 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 06-03-2015 |
| Last Update Date | 11-04-2021 |
Primary Taxonomy
| Taxonomy Code | 3336L0003X |
| Classification | Pharmacy |
| Type | Suppliers |
| Specialization | Long Term Care Pharmacy |
| License No. | 114323 |
| License State | AL |
| Taxonomy Description | A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Business Address
GENOA HEALTHCARE, LLC
2201 ARLINGTON AVE STE B
BESSEMER, AL
ZIP 35020
Phone: (256) 764-7201
Fax: (256) 766-8299
Mailing Address
GENOA HEALTHCARE, LLC
707 S GRADY WAY STE 700
RENTON, WA
ZIP 98057
Phone: (253) 218-0830
Fax: (253) 217-4306
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 2154634 | OTHER (01) |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.