GENOA HEALTHCARE
NPI 1396703559
Pharmacy - Long Term Care Pharmacy in Puyallup, WA

NPI Status: Active since May 03, 2006

Contact Information

325 E PIONEER AVE
SUITE B-124
PUYALLUP, WA
ZIP 98372
Phone: (253) 770-7000
Fax: (253) 770-7018

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About GENOA HEALTHCARE

This page provides the complete NPI Profile along with additional information for Genoa Healthcare, a provider established in Puyallup, Washington operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1396703559 assigned on May 2006. The practitioner's primary taxonomy code is 3336L0003X with license number CF57740 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Genoa Healthcare. The authorized official of this NPI record is Ryan Niemeyer (Controller)

NPI
1396703559
Provider Legal Name
GENOA HEALTHCARE, LLC
Other Organization Name
GENOA HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
325 E PIONEER AVE SUITE B-124 PUYALLUP, WA 98372
Location Phone
(253) 770-7000
Location Fax
(253) 770-7018
Mailing Address
PO BOX 77030 MINNEAPOLIS, MN 55480
Mailing Phone
(253) 218-0830
Mailing Fax
(253) 770-7018
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2006
Last Update Date
04-25-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
CF57740
License State
WA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN NIEMEYER

Authorized Official Title
CONTROLLER
Authorized Official Phone
(253) 218-0830

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6027031MEDICAID (05)WA 
4749990006MEDICARE NSC (07) 
4930601OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER

Reviews for GENOA HEALTHCARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396703559
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231861406510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 4 + 0 + 6 + 5 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1396703559 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619042876 JEREMY THOMAS PAPE
Individual
Counselor325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 445-8120
1033264874MS. CHRISTINE COLEMAN
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(360) 581-9492
1629118617 ALTA FAYE BERG MA
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 804-4179
1083754006 JAMES E CROZIER MA
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8548
1851431886 ANNETTE HESS MS
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1366582306 FREDERICK R HYDE MS
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1699815688 RALPH COLEMAN MA
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8548
1295875292 WILLIAM LEE CONN MS
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8548
1619017654 KELLY S PECK MA
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1073653010 MADRED SLAKER MA
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1023159837 LAURA DAE JOHNSON BS
Individual
Counselor325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1932240744 LINDA C CLEMENGER BA
Individual
Counselor325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1730220559 CHARLES A HAYS MA
Individual
Counselor325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1265573083 LANEA MILLER MA
Individual
Counselor325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1356483804 MARILYN ANN JORGENSON MA
Individual
Counselor325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1821131335 CINDY L JOHNSON MSW
Individual
Social Worker (Clinical)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1306989819 KAREN M FELLER MSW
Individual
Social Worker (Clinical)325 E PIONEER AVE
PUAYLLUP, WA 98372
(253) 697-8400
1770626137 BOBBII L BATEMAN MSW
Individual
Social Worker (Clinical)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1861537185 VINCENT A HUFF BA
Individual
Counselor (Mental Health)325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400
1396871349 JUDITH E ANTONUCCI BA
Individual
Counselor325 E PIONEER AVE
PUYALLUP, WA 98372
(253) 697-8400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396703559, enumerated in the NPI registry as an "organization" on May 03, 2006

The provider is located at 325 E Pioneer Ave Suite B-124 Puyallup, Wa 98372 and the phone number is (253) 770-7000

This medical organization specializes in Pharmacy with taxonomy code 3336L0003X with a focus in Long Term Care Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.