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GENOA HEALTHCARE LLC NPI 1548469729


NPI Information

NPI: 1548469729
Provider Name: GENOA HEALTHCARE LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
21 MONTAUK AVE STE 102
NEW LONDON, CT
ZIP 06320
Phone: (860) 447-9145
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GENOA HEALTHCARE LLC is a long term care pharmacy pharmacy in New London, CT. 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 1548469729. The provider is registered as an organization entity type.

The provider's business location address is:

21 MONTAUK AVE STE 102
NEW LONDON, CT
ZIP 06320-906
Phone: (860) 447-9145
Fax: (860) 271-8419

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 7/17/2007 and was last updated on 1/25/2024.


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
1333600000XPharmacyPCY0002090CONNECTICUTNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesPCY0002090CONNECTICUTNo
43336L0003XPharmacyLong Term Care PharmacyPCY0002090CONNECTICUTYes

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.