GENEVA
NPI 1639135809
Pharmacy in Geneva, NY

NPI Status: Active since April 25, 2006

Contact Information

200 NORTH ST
SUITE 103
GENEVA, NY
ZIP 14456
Phone: (315) 787-5388
Fax: (315) 781-3295

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  • Organization
  • Pharmacy
  • CLIA Number: 33D2321484
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About GENEVA

This page provides the complete NPI Profile along with additional information for Geneva, a provider established in Geneva, New York operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1639135809 assigned on April 2006. The practitioner's primary taxonomy code is 333600000X with license number 024380 (NY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Geneva. The authorized official of this NPI record is Lawrence A Jepsen (President)

NPI
1639135809
Provider Legal Name
HENDERSON'S DRUG STORE, INC.
Other Organization Name
GENEVA
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
200 NORTH ST SUITE 103 GENEVA, NY 14456
Location Phone
(315) 787-5388
Location Fax
(315) 781-3295
Mailing Address
PO BOX 696 WATKINS GLEN, NY 14891
Mailing Phone
(607) 535-4999
Mailing Fax
(315) 781-3295
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2006
Last Update Date
03-04-2010
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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

Taxonomy Code
333600000X
Type
Suppliers
License No.
024380
License State
NY
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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

LAWRENCE A JEPSEN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(607) 535-4999

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
01981828MEDICAID (05)NY 
0207710004MEDICARE NSC (07)NY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2321484
Facility Type
Physician Office
Certificate Effective Date
April 04, 2025
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. LEAH MILITELLO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Geneva to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for GENEVA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1639135809
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669231080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 3 + 1 + 0 + 8 + 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 1639135809 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
1952326845DR. ZIAD H RIFAI MD
Individual
Psychiatry & Neurology (Neurology)200 NORTH ST SUITE 302
GENEVA, NY 14456
(315) 787-5377
1275556656M A RACHEL CORMIER
Organization
Otolaryngology200 NORTH ST
GENEVA, NY 14456
(315) 787-5353
1477576866DR. MARIE-ANNE RACHEL CORMIER MD
Individual
Otolaryngology200 NORTH ST SUITE301
GENEVA, NY 14456
(315) 787-5353
1548370679DR. DORA PITA-ACEVEDO M.D.
Individual
Internal Medicine200 NORTH ST SUITE 102
GENEVA, NY 14456
(315) 787-5400
1679667513 MARK S RYAN M.D.
Individual
Internal Medicine200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1245313899 MARC SADOVNIC MD
Individual
Internal Medicine (Nephrology)200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1093898652 RICHARD KASULKE MD
Individual
Urology200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1033292610 STEPHEN ACHILLES MD
Individual
Obstetrics & Gynecology200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1235201559 JAMES DICKSON
Individual
Obstetrics & Gynecology200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1194897033 JAMES HIGHT MD
Individual
Obstetrics & Gynecology200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1316013287 NED NICOLAI MD
Individual
Pediatrics200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1588730451 JAMES ROBBINS MD
Individual
Pediatrics200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1437225315 ROBERT WEINBERG MD
Individual
Pediatrics200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1235206962 JANE MCCAFFREY MD
Individual
Pediatrics200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1295899003 MICHAEL COLLINS MD
Individual
Internal Medicine200 NORTH ST
GENEVA, NY 14456
(315) 787-5100
1326102500 ALICE JOHNSON FNP
Individual
Nurse Practitioner (Family)200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5100
1932250198MR. MICHAEL JOSEPH OSBORNE RPH
Individual
Pharmacist200 NORTH ST SUITE 103
GENEVA, NY 14456
(315) 787-5388
1417099136MICHAEL J DECICCO MD PLLC
Organization
Otolaryngology200 NORTH ST SUITE 301
GENEVA, NY 14456
(315) 787-5353
1558517078DR. KRISTIN SARAH BALTAZAR M.D.
Individual
Surgery200 NORTH ST SUITE 304
GENEVA, NY 14456
(315) 787-5383
1346503273MRS. LISA MARIE FITZGERALD PNP
Individual
Nurse Practitioner (Pediatrics)200 NORTH ST SUITE 101
GENEVA, NY 14456
(315) 787-5200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639135809, enumerated in the NPI registry as an "organization" on April 25, 2006

The provider is located at 200 North St Suite 103 Geneva, Ny 14456 and the phone number is (315) 787-5388

This medical organization specializes in Pharmacy with taxonomy code 333600000X

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.

The provider's CLIA number is 33D2321484 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 25, 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.