GENOA HEALTHCARE LLC – NPI #1003093162
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

GENOA HEALTHCARE LLC is a pharmacy located in SALEM, OR. NPPES has assigned the NPI number 1003093162 to GENOA HEALTHCARE LLC on January 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336L0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Long Term Care Pharmacy

The NPI profile was last updated on Dec 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENOA HEALTHCARE LLC below.

NPI Profile for
GENOA HEALTHCARE LLC

NPI Number
1003093162
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENOA HEALTHCARE LLC
Primary location
2045 SILVERTON RD NE STE B
SALEM, OR 97301-0100
Phone: (503) 364-3047 Fax: (503) 967-7165
Mailing address
707 S GRADY WAY STE 400
RENTON, WA 98057-3246
Phone: (253) 218-0830 Fax: (253) 217-4306
Organization Subpart
No
Authorized Official
KAREN BOHMER
SECRETARY
Phone: (224) 231-1833
Updated
Certification Date
Dec 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336L0003X
- Pharmacy / Long Term Care Pharmacy (Primary)
333600000X
- Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.