GENOA HEALTHCARE OF KY LLC (NPI# 1649385675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649385675 |
| Entity Type | Organization |
| Organization Name | GENOA HEALTHCARE OF KY LLC |
| Practice Address |
1100 Walnut St Owensboro KY 42301-2956 |
| Mailing Address |
510 E Main St Auburn WA 98002-5502 |
| Practice Telephone | 2706890002 |
| Practice Fax Number | 2706890079 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN MARTYN (PRESIDENT) |
| Authorized Official Telephone | 2536395088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07131 | KY | Suppliers |
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1829641 | 01 |
| Street Address |
1100 WALNUT ST |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-2956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274912 | Colleen Elizabeth Bosley | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-27 |
| 1679170898 | Raymond Ramon Lowery | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-10-01 |
| 1033725353 | Cheryl Elder | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-09-22 |
| 1659998466 | Mackenzie T Sorrels | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-26 |
| 1063038396 | Brittany Allyse Whitehouse | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-23 |
| 1336763812 | Serenity Miller | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-06-01 |
| 1497386254 | Denise Rebecca Pearson | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-30 |
| 1023649928 | Julie A Stallings | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2020-01-29 |
| 1760028104 | Allison Warnick | Nurse Practitioner | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-20 |
| 1265077002 | Kalyn D Jones | Counselor | 1100 Walnut St, Owensboro, KY 42301-2956 | 2019-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1942540430 | Commonwealth Family Pharmacy,llc | Pharmacy | 1915 Parrish Ave Suite 100, Owensboro, KY 42303 | 2013-02-21 |
| 1790867166 | Kentucky Cvs Pharmacy LLC | Pharmacy | 5151 Frederica St, Owensboro, KY 42301-7443 | 2006-10-19 |
| 1174629109 | D Thomason Incorporated | Pharmacy | 720 W Byers Ave, Owensboro, KY 42303-6330 | 2006-09-16 |
| 1124033378 | Walgreen Co | Pharmacy | 2318 Frederica St, Owensboro, KY 42301-4826 | 2006-07-29 |
| 1316554975 | Owensboro Pharmacy, LLC | Pharmacy | 720 W Byers Ave, Owensboro, KY 42303-6330 | 2020-09-28 |
| 1881117976 | Walgreen Co | Pharmacy | 3026 E 4th St, Owensboro, KY 42303 | 2017-07-20 |
| 1801807045 | Reisz Pharmaceuticals Vital Care, Inc. | Pharmacy | 2315 Mayfair Dr, Mayfair Square Professional Building, Owensboro, KY 42301-4557 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
| 1144828724 | Pharmacy Care Center | Pharmacy | 10616 South Ky Hwy 15, Scuddy, KY 41760 | 2020-10-15 |
| 1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
| 1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
| 1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
| 1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
| 1912523614 | Oldham Pharmacist Group | Pharmacy | 1000 Cherrywood Pl Ste 100, La Grange, KY 40031-8927 | 2020-06-18 |
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
| 1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
| 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.