GENOA COMMUNITY PHARMACY (NPI# 1902045479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902045479 |
| Entity Type | Organization |
| Organization Name | GENOA COMMUNITY PHARMACY |
| Other Organization Name | GENEOA COMMUNITY PHARMACY |
| Practice Address |
508 Willard Ave Genoa NE 68640-3039 |
| Mailing Address |
Po Box 10 Genoa NE 68640-0010 |
| Practice Telephone | 4029932400 |
| Practice Fax Number | 4029932421 |
| Mailing Telephone | 4029932400 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | ROBERT BAILEY (PHARMACIST/OWNER) |
| Authorized Official Telephone | 4023661417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2928 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025721600 | 05 | |
| PK | 2118928 | 01 |
| Other Name | Type Code |
|---|---|
| Geneoa Community Pharmacy | Doing Business As Name - Organization |
| Street Address |
508 WILLARD AVE |
| City | GENOA |
| State | NE |
| Zip Code | 68640-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790086999 | Park Street Medical Clinic PC | Family Medicine | 505 South Park Street, Genoa, NE 68640 | 2010-11-04 |
| 1679071724 | Elisa Jean Zeiss | Physician Assistant | Po Box 310, Genoa, NE 68640-0310 | 2018-01-23 |
| 1710275060 | City of Genoa | Nursing Facility/Intermediate Care Facility | 706 Ewing Avenue, Genoa, NE 68640-3035 | 2011-07-20 |
| 1649228511 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2006-05-04 |
| 1730795659 | Paige Julianne Pauley | Physician Assistant | 706 Ewing St, Genoa, NE 68640-3035 | 2020-09-16 |
| 1710548292 | Jordan Sue Chohon | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2019-06-25 |
| 1720579220 | Kimberly Ann Pfeifer | Dietitian, Registered | 706 Ewing St, Genoa, NE 68640-3035 | 2018-05-21 |
| 1386150522 | Katelyn Elizabeth Palkovic | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2017-12-26 |
| 1326457730 | Kala Preister | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2014-08-11 |
| 1417395955 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2013-06-06 |
| Find all providers in zip 68640 | ||||
| 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 |
|---|---|---|---|---|
| 1245852185 | Service Drugs, Inc. | Pharmacy | 202 Main St., Crawford, NE 69339-1026 | 2020-05-14 |
| 1770145492 | Our Town Pharmacy LLC | Pharmacy | 733 2nd St, Chappell, NE 69129-6876 | 2019-07-02 |
| 1952960783 | Lincoln Pharmacy LLC | Pharmacy | 3300 A Street, Ste 100, Lincoln, NE 68510-4512 | 2019-06-06 |
| 1457819922 | Providence Medical Center | Pharmacy | 803 Providence Rd Ste 101, Wayne, NE 68787-1590 | 2019-03-04 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1992283584 | Rainwood Rx LLC | Pharmacy | 20513 Nicholas Circle, Ste 3, Elkhorn, NE 68022 | 2018-08-06 |
| 1083128250 | Innovative Pain & Spine Specialists | Pharmacy | 7121 Stephanie Ln Ste 104, Lincoln, NE 68516-5359 | 2017-11-27 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1699191734 | Arborpharm, LLC | Pharmacy | 203 S 7th St, Ste B, Wymore, NE 68466 | 2014-03-13 |
| 1982020590 | B&r Stores, Inc | Pharmacy | 611 N Burlington Ave, Hastings, NE 68901-5037 | 2014-03-07 |
| 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.