Active NPIOrganization

Genoa Healthcare LLC

Pharmacy, Long Term Care Pharmacy in Waterbury, Connecticut

NPI Number1043975626
Practice location
969 W Main St Ste 2A, Room P, Waterbury, CT 06708-2666
Fax
203-583-4191
Last updated
January 29, 2024

Genoa Healthcare LLC is a healthcare organization based in Waterbury, CT. Genoa Healthcare LLC practices in Waterbury, CT. The NPI Number for Genoa Healthcare LLC is 1043975626. The current practice location address for Genoa Healthcare LLC is 969 W Main St Ste 2A, Room P, Waterbury, CT 06708-2666 and can be reached out via phone at 203-437-7280 and via fax at 203-583-4191.

Provider Profile Details

NPI Number
1043975626
Provider Name
Genoa Healthcare LLC
Provider Entity Type
Organization
Address
969 W Main St Ste 2A, Room P, Waterbury, CT 06708-2666
Phone Number
203-437-7280
Fax Number
203-583-4191
Primary Taxonomy
Pharmacy, Long Term Care Pharmacy · 3336L0003X
Organization Subpart
No
Authorized Official
Karen Bohmer · Secretary · 224-231-1833
Provider Enumeration Date
November 8, 2021
Last Update Date
January 29, 2024
Certification Date
January 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
969 W Main St Ste 2A, Room P
Waterbury, CT 06708-2666
Zip
06708-2666
Phone Number
203-437-7280
Fax Number
203-583-4191
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
707 S Grady Way Ste 400
Renton, WA 98057-3246
City
Renton
State
WA
Zip
98057-3246
Phone Number
253-218-0830
Fax Number
253-217-4306

License Information

Taxonomy (2)
Pharmacy · 333600000X
Taxonomy (3)
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Taxonomy (4)
Pharmacy, Long Term Care Pharmacy · 3336L0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Genoa Healthcare LLC?

The NPI number of Genoa Healthcare LLC is 1043975626. It was assigned on November 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Genoa Healthcare LLC?

Genoa Healthcare LLC is registered under the primary taxonomy Pharmacy, Long Term Care Pharmacy (code 3336L0003X).

Where does Genoa Healthcare LLC practice?

The practice location is 969 W Main St Ste 2A, Room P, Waterbury, CT 06708-2666. The office can be reached at 203-437-7280 (phone) or 203-583-4191 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043975626 directly on the NPPES registry website.

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