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GENOA HEALTHCARE
NPI 1497713739
Pharmacy - Long Term Care Pharmacy in Springfield, OR

Active since May 03, 2006
529 W CENTENNIAL BLVD, SPRINGFIELD, OR 97477(541) 868-1682(541) 868-1683 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genoa Healthcare NPPES

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

GENOA HEALTHCARE (NPI 1497713739) is a healthcare organization registered as a long term care pharmacy in Springfield, Oregon and active in the NPI registry since May 2006. The organization lists Ryan Niemeyer, Controller, as its authorized official.

NPPES Registry Identity

NPI1497713739
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE, LLC
Location Address529 W CENTENNIAL BLVDSpringfield, OR 97477-2804
Mailing AddressPo Box 77030Minneapolis, MN 55480-7730 · (253) 218-0830 · Fax (253) 217-4306
Phone(541) 868-1682
Fax(541) 868-1683
Organization SubpartNo
Authorized OfficialRyan NiemeyerController · (253) 218-0830
Enumeration DateMay 3, 2006
Last NPPES UpdateApril 25, 2012
✔ NPI 1497713739 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 · Institutional PharmacyTaxonomy 3336I0012X · License 002046 (OR)
529 W CENTENNIAL BLVD, Springfield, OR 97477
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Other Names 1

Doing Business AsGenoa Healthcare

Other Identifiers 4

Medicaid231819OR
Medicaid005807OR
Medicare NSC4749990004
Other3814921Ncpdp Provider Identification Number

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 1497713739. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as Genoa Healthcare.

Where is Genoa Healthcare, LLC located?

Genoa Healthcare, LLC is located at 529 W Centennial Blvd, Springfield, OR 97477. The listed phone number is (541) 868-1682.

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 April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.