NPIMap

Organization Active NPI

Genoa Healthcare of Kentucky, LLC

  • Long Term Care Pharmacy
  • Lexington, KY
National Provider Identifier
1295928349
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
P07131 Issued in KY
Legal business name
GENOA HEALTHCARE OF KENTUCKY, LLC
Practice address
201 Mechanic St
Lexington, KY 40507-1004
Phone
(859) 389-6404
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Denise Jason
Title
Contracts Administrator
Phone
(253) 218-0862

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P07131 KY
Long Term Care Pharmacy 3336L0003X P07131 KY Primary

Addresses

Primary practice location

201 Mechanic St
Lexington, KY 40507-1004

Mailing address

510 E Main St
Auburn, WA 98002-5502
Phone (253) 218-0830

National Provider Directory

National Provider Directory
Tax ID family
Genoa Healthcare of Kentucky LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1295928349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MAIN ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025502",
            "telephone_number": "253-218-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MECHANIC ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071004",
            "telephone_number": "859-389-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA HEALTHCARE OF KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "JASON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CONTRACTS ADMINISTRATOR",
        "authorized_official_telephone_number": "253-218-0862"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P07131",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KY",
            "license": "P07131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.