NPIMap

Organization Active NPI

Genventures, Inc.

  • Community/Retail Pharmacy
  • Moline, IL
National Provider Identifier
1275968844
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GENVENTURES, INC.
Practice address
3900 28TH Avenue Drive
Suite 110
Moline, IL 61265-5016
Phone
(309) 281-2590
Fax
(309) 281-2599
NPI assigned
Sep 13, 2013
Organization subpart
Yes
Parent organization
GENVENTURES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Mr. Mark G. Rogers
Title
President
Phone
(563) 421-6513

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3900 28TH Avenue Drive
Suite 110
Moline, IL 61265-5016

Mailing address

3900 28TH Avenue Drive
Suite 110
Moline, IL 61265-5016
Phone (309) 281-2590

Other names 1

  • Genesis Firstmed Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Firstmed Diagnostics Mo6 organizations share this tax ID, including this one
Part of
Firstmed Diagnostics Mo

Other organizations with this tax ID 5

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

Locations

3900 28th Avenue Dr
Ste 110
Moline, IL 61265
Phone (309) 281-2590

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1275968844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 28TH AVENUE DRIVE",
            "address_2": "SUITE 110",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655016",
            "telephone_number": "309-281-2590",
            "fax_number": "309-281-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 28TH AVENUE DRIVE",
            "address_2": "SUITE 110",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655016",
            "telephone_number": "309-281-2590",
            "fax_number": "309-281-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENVENTURES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENVENTURES, INC.",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-421-6513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Firstmed Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.