| NPI | 1093750663 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-18 |
| Last Updated | 2024-12-17 |
| Authorized Official | Karen Bohmer Secretary Phone: 2242311833 |
| Mailing Address | 707 S Grady Way Ste 400 Renton, WA 98057-3246 United States Phone: (253) 218-0830 | Fax: (253) 217-4306 📍 View Map |
| Primary Practice Address | 3763 Evans Ave Ste S140 Fort Myers, FL 33901-9302 United States Phone: (239) 939-7935 | Fax: (239) 314-0275 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 333600000X – Pharmacy | — | — |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| Yes | 3336L0003X – Pharmacy, Long Term Care Pharmacy | — | — |
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About NPI 1093750663
Genoa Healthcare Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093750663. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Fort Myers, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093750663?
NPI 1093750663 belongs to Genoa Healthcare Llc, a Pharmacy, Long Term Care Pharmacy in Fort Myers, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093750663 active?
The current status of NPI 1093750663 in the NPPES registry is Active. The record was last updated on 2024-12-17.
What specialty is NPI 1093750663?
NPI 1093750663 is classified under the taxonomy Pharmacy, Long Term Care Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093750663?
You can verify NPI 1093750663 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093750663?
The primary practice address on file for NPI 1093750663 is 3763 Evans Ave Ste S140, Fort Myers, FL 33901-9302. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093750663 issued?
NPI 1093750663 was first issued (enumerated) on 2006-06-18. The NPPES record was last updated on 2024-12-17.
Practice Location Map
Genoa Healthcare Llc is located at 3763 Evans Ave Ste S140, Fort Myers, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Genoa Healthcare Llc. All records sourced from the CMS NPPES registry.