GENOA HEALTHCARE LLC
NPI 1720808892
Pharmacy - Long Term Care Pharmacy in Miami, FL

NPI Status: Active since October 14, 2024

Contact Information

22790 SW 112TH AVENUE ROOM P
MIAMI, FL
ZIP 33170
Phone: (786) 732-8101
Fax: (786) 206-9745

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy

About GENOA HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Genoa Healthcare Llc, a provider established in Miami, Florida operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1720808892 assigned on October 2024. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated April 2025. The authorized official of this NPI record is Karen Bohmer (Secretary)

NPI
1720808892
Provider Name
GENOA HEALTHCARE LLC
Entity Type
Organization
Location Address
22790 SW 112TH AVENUE ROOM P MIAMI, FL 33170
Location Phone
(786) 732-8101
Location Fax
(786) 206-9745
Mailing Address
707 S GRADY WAY STE 400 RENTON, WA 98057
Mailing Phone
(253) 218-0830
Mailing Fax
(786) 206-9745
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2024
Last Update Date
04-28-2025
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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
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

 
33336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 

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

KAREN BOHMER

Authorized Official Title
SECRETARY
Authorized Official Phone
(224) 231-1833

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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.
1720808892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274016016818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 6 + 0 + 1 + 6 + 8 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1720808892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720808892, enumerated in the NPI registry as an "organization" on October 14, 2024

The provider is located at 22790 Sw 112th Avenue Room P Miami, Fl 33170 and the phone number is (786) 732-8101

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

This NPI record was last updated on October 14, 2024. 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.