Organization Active NPI

Shree Verai Aa Medventure Inc

Doing business as Genoa Family Pharmacy

  • Community/Retail Pharmacy
  • Genoa, IL
National Provider Identifier
1184574477
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHREE VERAI AA MEDVENTURE INC
Doing business as
Genoa Family Pharmacy
Practice address
201 W Main St
Genoa, IL 60135-1145
Phone
(779) 382-3211
NPI assigned
Jan 28, 2026
Last updated
Mar 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Parth A Patel, PHARMDNPI 1215560883
Title
Pharmacist in Charge
Phone
(815) 608-0479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

201 W Main St
Genoa, IL 60135-1145

Mailing address

201 W Main St
Genoa, IL 60135-1145
Phone (779) 382-3211

Other names 1

  • Genoa Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260424003187 IL Part B Supplier - Pharmacy 2163999392 Practice locations: Genoa, IL

National Provider Directory

National Provider Directory

Locations

201 W Main St
Genoa, IL 60135
Phone (779) 382-3211

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773532800000",
    "number": "1184574477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601351145",
            "telephone_number": "779-382-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W MAIN ST",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601351145",
            "telephone_number": "779-382-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE VERAI AA MEDVENTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "815-608-0479",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genoa Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Genoa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; 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.

Verify at the official NPI Registry.