GENOA HEALTHCARE, LLC (NPI# 1124646633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124646633 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE, LLC |
| Practice Address |
1030 Monarch St Ste P1 Lexington KY 40513-1843 |
| Mailing Address |
Po Box 77030 Minneapolis MN 55480-7730 |
| Practice Telephone | 8599632343 |
| Practice Fax Number | 8592865650 |
| Mailing Telephone | 2532180830 |
| Mailing Fax Number | 2532174306 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | WILLIAM ROBERT GUPTAIL (COO) |
| Authorized Official Telephone | 6516890258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103257 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 555 Towner St Ste 1120d, Ypsilanti, MI 48198-5723 | 2020-10-27 |
| 1477153757 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 299 W Railroad Ave Ste P, Crestview, FL 32536-4053 | 2020-10-27 |
| 1033719323 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 | 2020-10-27 |
| 1326648601 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 225 Carlton Davidson Ln Rm 1, Coal Grove, OH 45638-2924 | 2020-10-27 |
| 1912507211 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5690 Santa Teresita Drive, Suite A2, Room P1, Santa Teresa, NM 88008 | 2020-10-27 |
| 1760080238 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3807 N 7th St Ste P, Phoenix, AZ 85014-5005 | 2020-10-15 |
| 1174121982 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 807 Lawn Ave Ste 104, Sellersville, PA 18960-1549 | 2020-10-14 |
| 1457959272 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 281 Laclair St Rm 135, Coos Bay, OR 97420-2988 | 2020-10-14 |
| 1811595622 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2500 W Washington Ave Ste 103, Las Vegas, NV 89106-3731 | 2020-10-14 |
| 1245844000 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 E 84th Pl Rm 120, Merrillville, IN 46410-6578 | 2020-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | GENOA HEALTHCARE, LLC | 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188 |
| Washington State Corporations | GENOA HEALTHCARE, LLC | 18300 Cascade Ave S # 251, Tukwila, WA 98188 |
| Massachusetts Corporations | GENOA HEALTHCARE, LLC | 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188 |
| Ohio Business Entities | GENOA HEALTHCARE, LLC | 510 East Main Street, Auburn, WA 98002 |
| Street Address |
1030 MONARCH ST STE P1 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40513-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991531 | Angela C Dehart, Lcsw | Social Worker | 1040 Monarch St Ste 110, Lexington, KY 40513 | 2018-02-07 |
| 1831623313 | Dustin Mayrand | Student in an Organized Health Care Education/Training Program | 3141 Beaumont Centre Cir Ste 300, Lexington, KY 40513 | 2017-04-12 |
| 1992253249 | Apollo Laboratory Science and Technology Services | Clinical Medical Laboratory | 3191 Beaumont Centre Cir Ste 150, Lexington, KY 40513 | 2016-09-15 |
| 1457751174 | Kentucky One Health | Community/Behavioral Health | 3251 Beaumont Circle, Saint Joseph Healthy Lifestyle Center, Lexington, KY 40513 | 2014-08-29 |
| 1063777316 | Baptist Physicians Lexington, Inc | Internal Medicine | 3084 Lakecrest Circle, Suite 100, Lexington, KY 40513 | 2012-07-11 |
| 1346524329 | Katherina Terhune | Social Worker | 1000 Monarch Street, #250, Lexington, KY 40513 | 2011-10-07 |
| 1619206539 | Beamont Chiropractic LLC | Chiropractor | 3160 Beaumont Circle, Suite 130, Lexington, KY 40513 | 2009-12-24 |
| 1659604197 | Thomas Fordham Brewer | Preventive Medicine | 3234 Beacon St., Lexington, KY 40513 | 2009-09-16 |
| 1033368931 | Katy M Breeze | Pharmacist | #2573 Palomar Centre Dr, Rite Aid Pharmacy, Lexington, KY 40513 | 2008-09-16 |
| 1356485890 | Muscle & Rom Testing LLC | Specialist | 3726 Military Pike, Lexington, KY 40513 | 2007-02-17 |
| Find all providers in zip 40513 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104287 | Medwiz of Kentucky, LLC | Pharmacy | 116 Venture Ct Suites 4-5-6, Lexington, KY 40511-2625 | 2019-10-03 |
| 1477885697 | Barmore Drug Stores Inc | Pharmacy | 109 E 6th St, Lexington, NE 68850-1905 | 2010-02-14 |
| 1578640249 | Williams Pharmacy Inc | Pharmacy | 700 E Broadway St, Lexington, OK 73051-9067 | 2006-11-01 |
| 1912018524 | D&r Pharmaceutical Services LLC | Pharmacy | 921 Beasley St, Suite 130, Lexington, KY 40509-4119 | 2006-08-31 |
| 1033120613 | River Valley Phcy and Supply LLC | Pharmacy | 58 S Main St, Lexington, TN 38351-2104 | 2006-08-10 |
| 1841237245 | Pruitthealth Pharmacy Services, Inc. | Pharmacy | 328 Riverchase Way, Lexington, SC 29072-8010 | 2006-06-02 |
| 1811944051 | Gcp Services, LLC | Pharmacy | 2020 Liberty Rd, Ste. 105, Lexington, KY 40505-4257 | 2006-05-30 |
| 1538799655 | Professional Arts Pharmacy, LLC | Pharmacy | 270 W Church St Ste C, Lexington, TN 38351-2077 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1871133116 | Tompkinsville Drugs LLC | Pharmacy | 1513 Edmonton Rd, Tompkinsville, KY 42167-9402 | 2020-01-15 |
| 1407498546 | Andrews Packaging Pharmacy, Inc | Pharmacy | 10101 Taylorsville Rd Ste 103, Louisville, KY 40299-3663 | 2019-10-10 |
| 1164994315 | Rice Drugs, Inc. | Pharmacy | 125 Veller Drive, Beaver Dam, KY 42320-8955 | 2018-12-28 |
| 1174946875 | Orion Rx Kentucky LLC | Pharmacy | 13100 Magisterial Dr Ste 102, Louisville, KY 40223-5185 | 2014-01-31 |
| 1053757393 | Pharm-save, Inc. | Pharmacy | 13040 Eastgate Park Way Ste 105, Louisville, KY 40223-3915 | 2013-05-14 |
| 1427328459 | Highland Pharmacy Inc | Pharmacy | 301 Rogers Rd, Glasgow, KY 42141-4110 | 2012-01-06 |
| 1801164348 | Apothecare Pharmacy of Elizabethtown P S C | Pharmacy | 189 E Lincoln Trail Blvd, Radcliff, KY 40160-1253 | 2011-12-12 |
| 1386958866 | Bluegrass Long Term Care | Pharmacy | 2187 Lexington Rd Ste 1, Richmond, KY 40475-7919 | 2010-07-27 |
| 1730320326 | S.e.w. Enterprises, Inc. | Pharmacy | 317 West Broadway, Mayfield, KY 42066 | 2009-03-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.