Active NPI
Genoa Healthcare of Ky LLC
- Long Term Care Pharmacy
- Owensboro, KY
National Provider Identifier
1649385675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GENOA HEALTHCARE OF KY LLC
- Practice address
- 1100 Walnut St
Owensboro, KY 42301-2956 - Phone
- (270) 689-0002
- Fax
- (270) 689-0079
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Martyn
- Title
- President
- Phone
- (253) 639-5088
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P07131 | KY | |
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1100 Walnut St
Owensboro, KY 42301-2956
Mailing address
510 E Main St
Auburn, WA 98002-5502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1829641 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Genoa Healthcare of Kentucky LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Lexington, KY
- NPI 1295928349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1649385675",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WALNUT ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423012956",
"telephone_number": "270-689-0002",
"fax_number": "270-689-0079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENOA HEALTHCARE OF KY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MARTYN",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "253-639-5088"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P07131",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1829641",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.