GENOA HEALTHCARE, LLC


Address: 325 E Pioneer Ave, Suite B-124, Puyallup, WA 98372-3265
Phone: 2537707000

GENOA HEALTHCARE, LLC (NPI# 1396703559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396703559
Entity Type Organization
Organization Name GENOA HEALTHCARE, LLC
Other Organization Name GENOA HEALTHCARE
Practice Address 325 E Pioneer Ave
Suite B-124
Puyallup
WA 98372-3265
Mailing Address Po Box 77030
Minneapolis
MN 55480-7730
Practice Telephone 2537707000
Practice Fax Number 2537707018
Mailing Telephone 2532180830
Mailing Fax Number 2532174306
Enumeration Date 2006-05-03
Last Update Date 2012-04-25
Authorized Official Name RYAN NIEMEYER (CONTROLLER)
Authorized Official Telephone 2532180830
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
CF57740 WA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 4930601 01
WA 6027031 05

Other Provider/Organization Names

Other Name Type Code
Genoa Healthcare Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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
Vermont Business Registrations GENOA HEALTHCARE, LLC 18300 Cascade Avenue South, Suite 251, Tukwila, WA 98188

Office Location

Street Address 325 E PIONEER AVE
SUITE B-124
City PUYALLUP
State WA
Zip Code 98372-3265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063786234 Cornell Willard Anderson Counselor 325 E Pioneer Ave, Puyallup, WA 98372 2012-03-05
1700157609 Lynette J Carlson Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2012-01-24
1033489752 William Northrup Mchattie Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2012-01-11
1700156486 Gregory Warren Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2012-01-11
1740550961 Angela M Hodges Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2012-01-04
1619246642 Gisele O Patton Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2011-12-20
1689943698 Crystal N Mcmahan Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2011-12-20
1578831160 Carol Hurley Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2011-12-09
1821373242 Tara Marie Tremlett Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2011-10-17
1881978872 Ashley A Gunderson Counselor 325 E Pioneer Ave, Puyallup, WA 98372-3265 2011-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371532 Jeffrey Allen Zhan Urology Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 2019-11-21
1447811419 Serenity Counseling & Consulting, LLC Marriage & Family Therapist 102 23rd St Se, Unit B, Puyallup, WA 98372 2019-06-21
1316401565 Katherine Juarez Davidson Nurse Practitioner 325 E Pioneer # A145, Puyallup, WA 98372 2019-01-22
1679041404 Cara Ann Lundin Nurse Practitioner 11926 43rd St Crt E, Edgewood, WA 98372 2018-11-09
1104392109 Megan Black Occupational Therapist 40 29th St Ne, Puyallup, WA 98372 2018-10-17
1063919470 Myriah Shekinah Olakpe Occupational Therapist 516 Se 23rd Ave, Puyallup, WA 98372 2018-04-11
1902330202 Tyler Girdler Student in an Organized Health Care Education/Training Program 1322 3rd Street Se Suite 240, Puyallup, WA 98372 2017-04-13
1770039471 Mahalakshmi Hariharan Pharmacist 2117 28th St Se, Puyallup, WA 98372 2016-09-01
1801241112 Nawazish Ali Internal Medicine 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 2016-04-25
1932567559 Denice L. Voss Physical Therapist 400 29th St. Ne, Puyallup, WA 98372 2016-02-10
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043878333 Fairuz Hussein Pharmacy 11910 Meridian E Ste A, Puyallup, WA 98373-3433 2019-05-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316577869 Ksr Health Care LLC Pharmacy 507 W Stevens Ave Ste Aaa, Sultan, WA 98294-9515 2020-01-23
1730724105 Silver Lake Pharmacy Inc Pharmacy 10315 19th Ave Se Ste 104, Everett, WA 98208-4268 2019-11-09
1437708641 Ets Consulting LLC Pharmacy 6007 244th St Sw Ste A1, Mountlake Terrace, WA 98043-5427 2019-09-10
1891341616 Nwpa Inc Pharmacy 21509 State Route 410 E Ste 4, Bonney Lake, WA 98391-4104 2019-08-16
1669033288 Suncrest Pharmacy Group, LLC Pharmacy 5919f Highway 291, Nine Mile Falls, WA 99026 2019-06-25
1750948956 Lacey Square Pharmacy Inc Pharmacy 6020 Pacific Ave Se Ste C, Lacey, WA 98503-1319 2019-05-22
1306338868 Manhattan Village Pharmacy Inc. Pharmacy 10102 E Knox Ave Ste 400, Spokane Valley, WA 99206-4146 2018-05-31
1528566981 Rxltc, Pllc Pharmacy 969 Stevens Dr Ste 1b, Richland, WA 99352 2018-01-31
1891167755 Think Different Pharmacy 31710 50th Ln Sw Apt V201, Federal Way, WA 98023-3747 2015-10-30
1104207372 Prescription Pharmacy Pllc Pharmacy 800 Swift Blvd Ste 140, Richland, WA 99352-3559 2015-06-14
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Competitor

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City PUYALLUP
Zip Code 98372

Improve Information

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Dataset Information

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.

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