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GENOA HEALTHCARE LLC
NPI 1518064351
Pharmacy - Long Term Care Pharmacy in St Petersburg, FL

Active since September 20, 2006
4024 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 327-7262(727) 323-8624 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 26, 2024, Mar 14, 2023, Oct 31, 2022 and 5 more (8 updates tracked since 2016).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1518064351) is a healthcare organization registered as a long term care pharmacy in St Petersburg, Florida and active in the NPI registry since September 2006. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1518064351
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address4024 CENTRAL AVESt Petersburg, FL 33711-1239
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Phone(727) 327-7262
Fax(727) 323-8624
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 26, 20248 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1518064351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4024 CENTRAL AVE, St Petersburg, FL 33711
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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 Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

MS. KESHA B. BAKER CM
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
SHIELA LUANNE HAMMOND
Social Worker
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
CHRISTOPHER WEST
Case Manager/Care Coordinator
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 300-0063
LYTEASA SHAWNEA WEEKS
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
GERALD BASKIN
Counselor
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
BRIAN BROLSMA
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
WALTER B BLAKE
Counselor (Mental Health)
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
JOMON JOHN THEKKETHOTTIYIL
Social Worker (Clinical)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656

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 1518064351. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Genoa Healthcare LLC located?

Genoa Healthcare LLC is located at 4024 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 327-7262.

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.

What insurance does Genoa Healthcare LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 50 other insurers list Genoa Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genoa Healthcare LLC was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.