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

NPI Status: Active since August 27, 2007

Contact Information

120 OMNI DR
MC MINNVILLE, TN
ZIP 37110
Phone: (931) 473-1066
Fax: (931) 473-1068

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About GENOA HEALTHCARE OF TENNESSEE, LLC

This page provides the complete NPI Profile along with additional information for Genoa Healthcare Of Tennessee, Llc, a provider established in Mc Minnville, Tennessee operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1548453194 assigned on August 2007. The practitioner's primary taxonomy code is 3336L0003X with license number 4338 (TN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Denise Jason (Contracts Administrator)

NPI
1548453194
Provider Name
GENOA HEALTHCARE OF TENNESSEE, LLC
Entity Type
Organization
Location Address
120 OMNI DR MC MINNVILLE, TN 37110
Location Phone
(931) 473-1066
Location Fax
(931) 473-1068
Mailing Address
510 E MAIN ST AUBURN, WA 98002
Mailing Phone
(253) 218-0830
Mailing Fax
(931) 473-1068
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2007
Last Update Date
09-02-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
4338
License State
TN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

4338 (TN)
2333600000XSuppliers

Pharmacy

4338 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENISE JASON

Authorized Official Title
CONTRACTS ADMINISTRATOR
Authorized Official Phone
(253) 218-0862

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5703850004MEDICARE NSC (07)TN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548453194, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 8 + 5 + 6 + 1 + 1 + 8 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1548453194.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
120 OMNI DR
MC MINNVILLE, TN 37110
Counselor (Mental Health)
120 OMNI DR
MC MINNVILLE, TN 37110
Marriage & Family Therapist
120 OMNI DR
MC MINNVILLE, TN 37110
Psychologist (Counseling)
120 OMNI DR
MCMINNVILLE, TN 37110
Nurse Practitioner (Psychiatric/Mental Health)
120 OMNI DR, CHEER MENTAL HEALTH
MCMINNVILLE, TN 37110
Pharmacist
120 OMNI DR
MCMINNVILLE, TN 37110
Social Worker
120 OMNI DR
MCMINNVILLE, TN 37110
Counselor (Professional)
120 OMNI DR
MCMINNVILLE, TN 37110
Pharmacy (Long Term Care Pharmacy)
120 OMNI DR
MCMINNVILLE, TN 37110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548453194, enumerated as an "organization" on August 27, 2007.

The provider is located at 120 OMNI DR MC MINNVILLE, TN 37110 and the phone number is (931) 473-1066.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.