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GENOA HEALTHCARE OF TENNESSEE, LLC
NPI 1548453194
Pharmacy - Long Term Care Pharmacy in Mc Minnville, TN

Active since August 27, 2007
120 OMNI DR, MC MINNVILLE, TN 37110(931) 473-1066(931) 473-1068 Get Directions Write a Review

NPPES record last updated: September 2, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Genoa Healthcare Of Tennessee, Llc NPPES

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

GENOA HEALTHCARE OF TENNESSEE, LLC (NPI 1548453194) is a healthcare organization registered as a long term care pharmacy in Mc Minnville, Tennessee and active in the NPI registry since August 2007. The organization lists Denise Jason, Contracts Administrator, as its authorized official.

NPPES Registry Identity

NPI1548453194
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGENOA HEALTHCARE OF TENNESSEE, LLC
Location Address120 OMNI DRMc Minnville, TN 37110-1331
Mailing Address510 E Main StAuburn, WA 98002-5502 · (253) 218-0830 · Fax (253) 218-0835
Phone(931) 473-1066
Fax(931) 473-1068
Organization SubpartNo
Authorized OfficialDenise JasonContracts Administrator · (253) 218-0862
Enumeration DateAugust 27, 2007
Last NPPES UpdateSeptember 2, 2008
✔ NPI 1548453194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in TN · 4338
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 · License 4338 (TN)
Also ListedPharmacyTaxonomy 333600000X · License 4338 (TN)
120 OMNI DR, Mc Minnville, TN 37110
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Other Identifiers 1

Medicare NSC5703850004TN

Other Providers at the Same Location NPPES 9

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

MR. JONATHAN WILLIAMS LPC-MHSP
Counselor (Professional)
120 OMNI DR
MCMINNVILLE, TN 37110
Warren County (931) 473-9649
RONALD LEE LMFT
Marriage & Family Therapist
120 OMNI DR
MC MINNVILLE, TN 37110
Warren County (931) 473-9649
DR. TERRY L DENNING PHARMD
Pharmacist
120 OMNI DR
MCMINNVILLE, TN 37110
Warren County (931) 473-1066
ROBERT B BOWLING LPC
Counselor (Mental Health)
120 OMNI DR
MC MINNVILLE, TN 37110
Warren County (931) 473-9649
GLENN WEBB MD
Psychiatry & Neurology (Psychiatry)
120 OMNI DR
MC MINNVILLE, TN 37110
Warren County (931) 473-6949
MRS. MARY T DYESS APRN
Nurse Practitioner (Psychiatric/Mental Health)
120 OMNI DR, CHEER MENTAL HEALTH
MCMINNVILLE, TN 37110
Warren County (931) 473-9649
MARSHA LAWANNA SLATTEN PHD
Psychologist (Counseling)
120 OMNI DR
MCMINNVILLE, TN 37110
Warren County (931) 473-9649
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
120 OMNI DR
MCMINNVILLE, TN 37110
Warren County (931) 473-1066

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 Of Tennessee, LLC's NPI number?

The NPI number for Genoa Healthcare Of Tennessee, LLC is 1548453194. It was assigned to this organization in the NPPES registry on August 27, 2007.

Where is Genoa Healthcare Of Tennessee, LLC located?

Genoa Healthcare Of Tennessee, LLC is located at 120 Omni Dr, Mc Minnville, TN 37110. The listed phone number is (931) 473-1066.

What is Genoa Healthcare Of Tennessee, 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 Of Tennessee, LLC was last updated on September 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.