Genoa Healthcare LLC
Pharmacy, Long Term Care Pharmacy in Brockton, Massachusetts
1992521512- Practice location
- 795 Pleasant Street, Suite P, Brockton, MA 02301-3052
- Phone
- 508-580-8701
- Fax
- 508-630-0281
- Last updated
- May 1, 2025
Genoa Healthcare LLC is a healthcare organization based in Brockton, MA. Genoa Healthcare LLC practices in Brockton, MA. The NPI Number for Genoa Healthcare LLC is 1992521512. The current practice location address for Genoa Healthcare LLC is 795 Pleasant Street, Suite P, Brockton, MA 02301-3052 and can be reached out via phone at 508-580-8701 and via fax at 508-630-0281.
Provider Profile Details
- NPI Number
- 1992521512
- Provider Name
- Genoa Healthcare LLC
- Provider Entity Type
- Organization
- Address
- 795 Pleasant Street, Suite P, Brockton, MA 02301-3052
- Phone Number
- 508-580-8701
- Fax Number
- 508-630-0281
- Primary Taxonomy
- Pharmacy, Long Term Care Pharmacy · 3336L0003X
- Organization Subpart
- No
- Authorized Official
- Karen Bohmer · Secretary · 224-231-1833
- Provider Enumeration Date
- November 27, 2024
- Last Update Date
- May 1, 2025
- Certification Date
- May 1, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 795 Pleasant Street
Suite P
Brockton, MA 02301-3052 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-3052
- Phone Number
- 508-580-8701
- Fax Number
- 508-630-0281
Provider Business Mailing Address Details
- Address
- 707 S Grady Way
Ste 400
Renton, WA 98057 - City
- Renton
- State
- WA
- Zip
- 98057
- Phone Number
- 253-218-0830
- Fax Number
- 253-217-4306
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Taxonomy (4)
- Pharmacy, Long Term Care Pharmacy · 3336L0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 1992521512. It was assigned on November 27, 2024 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 795 Pleasant Street, Suite P, Brockton, MA 02301-3052. The office can be reached at 508-580-8701 (phone) or 508-630-0281 (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 1992521512 directly on the NPPES registry website.