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GENOA HEALTHCARE LLC NPI 1487612958


NPI Information

NPI: 1487612958
Provider Name: GENOA HEALTHCARE LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
123 19TH ST NE
WATERTOWN, SD
ZIP 57201
Phone: (605) 882-9400
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GENOA HEALTHCARE LLC is a long term care pharmacy pharmacy in Watertown, SD. The provider is 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. GENOA HEALTHCARE LLC NPI is 1487612958. The provider is registered as an organization entity type.

The provider's business location address is:

123 19TH ST NE
WATERTOWN, SD
ZIP 57201-823
Phone: (605) 882-9400
Fax: (605) 882-9405

The provider's authorized official is Karen Bohmer .
The authorized official title is Secretary and has the following contact phone number (224) 231-1833.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 1/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies1001880SOUTH DAKOTANo
2333600000XPharmacy1001880SOUTH DAKOTANo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336L0003XPharmacyLong Term Care Pharmacy1001880SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.