GENOA HEALTHCARE LLC NPI 1477007045

NPI Information

  • NPI: 1477007045
  • Provider Name: GENOA HEALTHCARE LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 325 W GOWE ST STE 110
    KENT, WA
    ZIP 98032
  • Phone: (253) 850-2552

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NPI Details

GENOA HEALTHCARE LLC is a long term care pharmacy pharmacy in Kent, WA. 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 1477007045. The provider is registered as an organization entity type.

The provider's business location address is:

325 W GOWE ST STE 110
KENT, WA
ZIP 98032-892
Phone: (253) 850-2552
Fax: (253) 518-0720

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 8/11/2016 and was last updated on 1/19/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyYes

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: 3/30/2025

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