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GENOA HEALTHCARE LLC
NPI 1285362202
Pharmacy - Long Term Care Pharmacy in Peoria, IL

Active since August 09, 2022
2321 N WISCONSIN AVE STE A, PEORIA, IL 61603(253) 218-0830(253) 217-4306 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2023, Aug 9, 2022 (2 updates tracked since 2022).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1285362202) is a healthcare organization registered as a long term care pharmacy in Peoria, Illinois and active in the NPI registry since August 2022. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1285362202
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address2321 N WISCONSIN AVE STE APeoria, IL 61603-5613
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Phone(253) 218-0830
Fax(253) 217-4306
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateAugust 9, 2022
Last NPPES UpdateJanuary 25, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
✔ NPI 1285362202 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
2321 N WISCONSIN AVE STE A, Peoria, IL 61603
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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 ›

Frequently Asked Questions

What is GENOA HEALTHCARE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1285362202, enumerated as an "organization" on August 09, 2022.

Where is the provider located?

The provider is located at 2321 N WISCONSIN AVE STE A PEORIA, IL 61603 and the phone number is (253) 218-0830.

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.