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Genoa Healthcare, LLC

Organization Active NPI Long Term Care Pharmacy · Pittsburgh, PA

NPI 1134520828 · NPPES record last updated Apr 26, 2021

Key facts

NPI
1134520828
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
GENOA HEALTHCARE, LLC
Practice address
4900 Perry Hwy
BLDG 2, 3Rd Floor
Pittsburgh, PA 15229-2220
Phone
(412) 931-3131
Fax
(412) 223-5384
NPI assigned
Sep 12, 2014
Organization subpart
No

Authorized official

Name
Natasha Hennessy
Title
Chief Pharmacy Officer
Phone
(612) 722-4249

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Genoa Healthcare LLC (759 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

4900 Perry Hwy
BLDG 2, 3Rd Floor
Pittsburgh, PA 15229-2220

Mailing address

137 Hospital Dr NE
Suite Q
Fort Walton Beach, FL 32548-5063
Phone (412) 931-3131

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2021.

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1134520828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HOSPITAL DR NE",
            "address_2": "SUITE Q",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485063",
            "telephone_number": "412-931-3131",
            "fax_number": "412-223-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 PERRY HWY",
            "address_2": "BLDG 2, 3RD FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152292220",
            "telephone_number": "412-931-3131",
            "fax_number": "412-223-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "HENNESSY",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "612-722-4249"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

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