GENEVA WOODS PHARMACY, LLC (NPI# 1194816405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194816405 |
| Entity Type | Organization |
| Organization Name | GENEVA WOODS PHARMACY, LLC |
| Other Organization Name | GENEVA WOODS MAT-SU MEDSET PHARMACY #48552 |
| Practice Address |
3674 E Country Field Cir Ste B Wasilla AK 99654-5101 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9073768200 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Geneva Woods Mat-Su Medset Pharmacy #48552 | Doing Business As Name - Organization |
| Geneva Woods Mat-Su Medset Pharmacy 48552 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861820870 | Geneva Woods Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 1310 Elm St, Helena, MT 59601-0930 | 2013-10-30 |
| 1578657854 | Geneva Woods Pharmacy, LLC | Pharmacy | 501 W International Airport Rd Ste 6, Anchorage, AK 99518-1106 | 2006-10-03 |
| 1578654034 | Geneva Woods Pharmacy, LLC | Pharmacy | 3674 E Country Field Cir, Ste A, Wasilla, AK 99654-5101 | 2006-09-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GENEVA WOODS PHARMACY, LLC | 201 E 4th St, 900 Omnicare Ctr, Cincinnati, OH 45202-4248 |
| Street Address |
3674 E COUNTRY FIELD CIR STE B |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578654034 | Geneva Woods Pharmacy, LLC | Pharmacy | 3674 E Country Field Cir, Ste A, Wasilla, AK 99654-5101 | 2006-09-27 |
| 1831600568 | Scottie Su Leclaire | Pharmacist | 3674 E Country Field Cir, Wasilla, AK 99654-5101 | 2017-10-20 |
| 1831554815 | John Michael Walkup | Pharmacist | 3674 E Country Field Cir, Wasilla, AK 99654-5101 | 2015-12-17 |
| 1174707681 | William Glen Decker | Pharmacist | 3674 E Country Field Cir, Medset, Wasilla, AK 99654-5101 | 2007-12-19 |
| 1720298870 | Pauline Anne Grube | Registered Nurse | 3674 E Country Field Cir, Wasilla, AK 99654-5101 | 2007-05-23 |
| 1518091297 | Kimberly Ryneski | Respiratory Therapist, Certified | 3674 E Country Field Cir, Suite A, Wasilla, AK 99654-5101 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578654034 | Geneva Woods Pharmacy, LLC | Pharmacy | 3674 E Country Field Cir, Ste A, Wasilla, AK 99654-5101 | 2006-09-27 |
| 1912416579 | Pharmacy Partners, LLC | Pharmacy | 3190 E Meridian Park Loop, Suite 110, Wasilla, AK 99654 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154451714 | Providence Health System Washington | Pharmacy | 920 Compassion Cir, Anchorage, AK 99504-1645 | 2007-03-06 |
| 1578657854 | Geneva Woods Pharmacy, LLC | Pharmacy | 501 W International Airport Rd Ste 6, Anchorage, AK 99518-1106 | 2006-10-03 |
| 1053341966 | Professional Home Iv Inc | Pharmacy | 182 S Birch St, Soldotna, AK 99669-8020 | 2006-07-04 |
| 1285267989 | Prescription Center LLC | Pharmacy | 1919 Lathrop St Ste 109, Fairbanks, AK 99701-5937 | 2020-02-20 |
| 1043859374 | Inlet Pharmacy Group Inc. | Pharmacy | 299 N Binkley St, Soldotna, AK 99669-7523 | 2020-01-03 |
| 1619378270 | Medset Pharmacy, LLC | Pharmacy | 4101 Arctic Blvd, Suite #107, Anchorage, AK 99503-5702 | 2014-09-12 |
| 1205088747 | Northern Lights Pharmacy, Inc. | Pharmacy | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2008-10-15 |
| 1013077080 | Cordova Community Hospital | Pharmacy | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-12-11 |
| 1528126653 | Pioneer Homes Pharmacy | Pharmacy | 923 W 11th Ave, Anchorage, AK 99501-4306 | 2006-12-04 |
| 1184799777 | Juneau Pharmacy Inc | Pharmacy | 202 Front St, Juneau, AK 99801-1228 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.