GENOA HEALTHCARE LLC
NPI 1538648571
Pharmacy - Long Term Care Pharmacy in Bloomington, IL

Active since August 10, 2018
702 W CHESTNUT ST STE 103, BLOOMINGTON, IL 61701(309) 807-5160(309) 556-0944 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 20, 2023, Oct 31, 2022, Nov 8, 2021 and 3 more (6 updates tracked since 2018).

About Genoa Healthcare Llc NPPES

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

GENOA HEALTHCARE LLC (NPI 1538648571) is a healthcare organization registered as a long term care pharmacy in Bloomington, Illinois and active in the NPI registry since August 2018. The organization lists Karen Bohmer, Secretary, as its authorized official.

NPPES Registry Identity

NPI1538648571
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE LLC
Location Address702 W CHESTNUT ST STE 103Bloomington, IL 61701-2814
Mailing Address707 S Grady Way Ste 400Renton, WA 98057-3246 · (253) 218-0830 · Fax (253) 217-4306
Fax(309) 556-0944
Organization SubpartNo
Authorized OfficialKaren BohmerSecretary · (224) 231-1833
Enumeration DateAugust 10, 2018
Last NPPES UpdateJanuary 16, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
NPI 1538648571 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
702 W CHESTNUT ST STE 103, Bloomington, IL 61701

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacist
702 W CHESTNUT ST STE 103
BLOOMINGTON, IL 61701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538648571, enumerated as an "organization" on August 10, 2018.

The provider is located at 702 W CHESTNUT ST STE 103 BLOOMINGTON, IL 61701 and the phone number is (309) 807-5160.

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

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