Genoa Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

0202215442 Issued in VA

Legal business name

GENOA PHARMACY

Practice address

200 Medical Dr
Suite 289
Hampton, VA 23666-1763

Phone

(757) 750-1877

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Howard Lewis Jr., PHARMD

Title

Pharmacist

Phone

(757) 218-0130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1497286124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CHICKAMAUGA PIKE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691710",
            "telephone_number": "757-218-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL DR",
            "address_2": "SUITE 289",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661763",
            "telephone_number": "757-750-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "757-218-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0202215442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Counseling Center, Inc.
• Genesis Healthcare
• Genesis Rehab Services
• Genesis Rehabilitation Services
• Genoa Healthcare LLC
• Benjamin David Gensler, PA
• Gentle Hands Home Healthcare Services, LLC
• Gentle Touch Home Care, LLC
• Steven Edwin Gentry, MD
• Dylan Miguel George, FNP

• All providers in Hampton, VA
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.