NPIMap

Organization Active NPI

Genesis Healthcare System

Doing business as Genesis Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Zanesville, OH
National Provider Identifier
1477150951
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GENESIS HEALTHCARE SYSTEM
Doing business as
Genesis Outpatient Pharmacy
Practice address
945 Bethesda Dr Ste 20
Zanesville, OH 43701-0801
Phone
(740) 454-4044
NPI assigned
Oct 7, 2020
Last updated
Oct 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Michael Norman
Title
Cfo
Phone
(740) 454-4773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

945 Bethesda Dr Ste 20
Zanesville, OH 43701-0801

Mailing address

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 586-6626

Other names 1

  • Genesis Outpatient Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070402000398 OH Part A Provider - Hospital 1759279953 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477150951. Details of each certification follow.

Hospital certification: CCN 360039

Legal name
GENESIS HEALTHCARE SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 12, 2016
Beds
298
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 1997 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 20, 1996 in OH
Enrollment address
2951 Maple Ave
Zanesville, OH 43701-1406
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation unit

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Genesis HospitalCCN 360039 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Genesis Roseville Pharmacy18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mitesh H Parekh Individual Corporate DirectorBoard Member Jan 1, 2025
William Noll Individual Corporate DirectorBoard Member Jan 1, 2023
Ryan T Neville Individual Corporate DirectorBoard Member Jan 1, 2025
Patrick Nash Individual Corporate DirectorBoard Member Jan 1, 2015
Dana Matz Individual Corporate DirectorBoard Member Jan 1, 2023
James McDonald Individual Corporate DirectorBoard Member Jan 1, 2008
Matthew J Perry Individual Corporate OfficerChief Executive Officer Oct 14, 2007
Corporate DirectorChief Executive Officer Oct 14, 2007
W-2 Managing EmployeeChief Executive Officer Oct 14, 2007
Maureen Anne Shepard Individual Corporate DirectorBoard Member Jan 1, 2023
Michael Norman Individual Corporate OfficerCso Apr 1, 2018
W-2 Managing EmployeeCso Apr 30, 2010
Joann Butcher Individual Corporate DirectorBoard Member Jan 1, 2015
Monte Bainter Individual Corporate DirectorBoard Member Jan 1, 2025
Tom Centa Individual Corporate DirectorBoard Member Jan 1, 2025
Jim Nicholson Individual Corporate DirectorBoard Member Jan 1, 2019
Susan Hasseler Individual Corporate DirectorBoard Member Jan 1, 2025
Josh Joseph Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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.

Affiliated clinicians 893

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 893

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1477150951",
    "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",
            "telephone_number": "740-586-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 BETHESDA DR STE 20",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010801",
            "telephone_number": "740-454-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-454-4773"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.