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GENOA HEALTHCARE OF FLORIDA LLC NPI 1366540239


NPI Information

NPI: 1366540239
Provider Name: GENOA HEALTHCARE OF FLORIDA, LLC

Doing Business As: GENOA HEALTHCARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1437 S BELCHER RD
CLEARWATER, FL
ZIP 33764
Phone: (727) 533-9073
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GENOA HEALTHCARE OF FLORIDA, LLC is a long term care pharmacy pharmacy in Clearwater, FL. The provider is 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. GENOA HEALTHCARE OF FLORIDA, LLC NPI is 1366540239. The provider is registered as an organization entity type.
The provider Is Doing Business As Genoa Healthcare.

The provider's business location address is:

1437 S BELCHER RD
CLEARWATER, FL
ZIP 33764-829
Phone: (727) 533-9073
Fax: (727) 533-9184

The provider's authorized official is Ryan Niemeyer .
The authorized official title is Controller and has the following contact phone number (253) 218-0830.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 3/23/2012.


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
1333600000XPharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyPH22102FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PH22102OTHERFLORIDABOP LICENSE
2BG9862447OTHERDEA
35797520007MEDICARE NSC
4031630000MEDICAIDFLORIDA
51020356OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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: 11/14/2023

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