NPIMap

Genoa Healthcare LLC

Organization Active NPI Long Term Care Pharmacy · Brockton, MA

NPI 1992521512 · NPPES record last updated May 1, 2025

Key facts

NPI
1992521512
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
GENOA HEALTHCARE LLC
Practice address
795 Pleasant Street
Suite P
Brockton, MA 02301-3052
Phone
(508) 580-8701
Fax
(508) 630-0281
NPI assigned
Nov 27, 2024
Organization subpart
No

Authorized official

Name
Karen Bohmer
Title
Secretary
Phone
(224) 231-1833

Other NPIs on the same Medicare enrollment 20

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

Corporate family (same tax ID) 12

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 287

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 287

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200519002331 MA Part B Supplier - Pharmacy 6608003652 22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Framingham, MA; Worcester, MA; West Springfield, MA; Springfield, MA; Quincy, MA; Northampton, MA; Milford, MA; Marlborough, MA…

National Provider Directory

Tax ID family
Genoa Healthcare LLC (759 organizations share this tax ID)

Locations (25 of 348)

1944 Allen Ct
Ste P1
Juneau, AK 99801
Phone (877) 658-0304

425 5th Ave NW
Rm 92
Attalla, AL 35954
Phone (256) 413-4455

134 Prevatt Rd
Dothan, AL 36301
Phone (334) 699-3858

3456 Hillcrest Rd
Ste D
Mobile, AL 36695
Phone (251) 665-4521

2520 Fairlane Dr
Ste 300
Montgomery, AL 36116
Phone (334) 356-7627

715 N College Ave
Ste P1
El Dorado, AR 71730
Phone (870) 639-6227

3111 S 70th St
Ste 100
Fort Smith, AR 72903
Phone (479) 755-2652

125 Wellness Way
Ste 268
Hot Springs National Park, AR 71913
Phone (501) 762-8919

4 Executive Center Ct
#A
Little Rock, AR 72211
Phone (501) 712-4395

400 S Main St
Ste 700
Searcy, AR 72143
Phone (501) 203-2659

121 W 2nd St
Ste 1
Casa Grande, AZ 85122
Phone (520) 413-0262

210 E Cottonwood Ln
Ste 102
Casa Grande, AZ 85122
Phone (520) 413-0262

1465 W Chandler Blvd
Ste P
Chandler, AZ 85224
Phone (623) 208-7646

5222 E Baseline Rd
Ste 100
Gilbert, AZ 85234
Phone (480) 485-5939

3271 E Queen Creek Rd
Ste 101P
Gilbert, AZ 85297
Phone (602) 748-4220

4631 S Power Rd
Ste 105
Mesa, AZ 85212
Phone (480) 750-1635

3640 W Osborn Rd
Ste P1
Phoenix, AZ 85019
Phone (480) 867-3743

3001 N 33rd Ave
Rm 210
Phoenix, AZ 85017
Phone (480) 422-3283

8804 N 23rd Ave
Ste 1A2
Phoenix, AZ 85021
Phone (480) 264-0623

1035 E Jefferson St
Ste P1
Phoenix, AZ 85034
Phone (480) 692-2175

3540 E Baseline Rd
Ste 150
Phoenix, AZ 85042
Phone (480) 739-5784

1101 N Central Ave
Ste 102
Phoenix, AZ 85004
Phone (602) 257-1133

1201 S 7th Ave
Ste 150P
Phoenix, AZ 85007
Phone (480) 347-0411

3807 N 7th St
Ste P
Phoenix, AZ 85014
Phone (480) 372-5997

1021 E Palmdale St
Ste 150P
Tucson, AZ 85714
Phone (520) 399-8279

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

795 Pleasant Street
Suite P
Brockton, MA 02301-3052

Mailing address

707 S Grady Way
Ste 400
Renton, WA 98057
Phone (253) 218-0830

Other providers in Brockton, MA

All providers in Brockton, MA · Long Term Care Pharmacy in Massachusetts

Sources for this page

Verify at the official NPI Registry.