Active NPI
Genesis Specialty Pharmacy, LLC
- Specialty Pharmacy
- Zanesville, OH
National Provider Identifier
1184284929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- GENESIS SPECIALTY PHARMACY, LLC
- Practice address
- 721 Taylor St Ste B
Zanesville, OH 43701-2010 - Phone
- (740) 454-5667
- NPI assigned
- Jun 14, 2019
- Last updated
- Dec 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Norman
- Title
- Cso
- Phone
- (740) 454-4773
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
721 Taylor St Ste B
Zanesville, OH 43701-2010
Mailing address
2951 Maple Ave
Zanesville, OH 43701-1406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200122002790 | OH | DME Supplier - Pharmacy | 9133554074 | Practice locations: Zanesville, OH |
National Provider Directory
National Provider DirectoryLocations
721 Taylor St
Ste B
Zanesville, OH 43701
Phone (740) 450-1620
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Zanesville, OH
- NPI 1417593146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1184284929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 MAPLE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 TAYLOR ST STE B",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012010",
"telephone_number": "740-454-5667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS SPECIALTY PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-14",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "NORMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CSO",
"authorized_official_telephone_number": "740-454-4773"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
- Genesis Medical Group, LLC (Genesis Foot & Ankle)
- Genesis Medical Group, LLC (Genesis Orthopedic Surgery)
- Genesis Medical Group, LLC
- Genesis Primary Care Physicians LLC
- Genesis Professional Corp
- Genesis Urgent Care Physicians, LLC
- Genoa Healthcare LLC
- Donald E Germany, MSN, CNP
- Chelsi Gernat, PT, DPT
- Brooke N Gerst, APRN-CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.