National Provider Identifier

Genoa Healthcare LLC

Genoa Healthcare LLC is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy in Rochester, NY and a listed phone number of (714) 825-3780.

NPI 1053192740Rochester, NYCommunity/Retail Pharmacy

Profile Overview

NPI
1053192740
Provider Type
Organization
Primary Specialty
Community/Retail Pharmacy
Enumeration Date
October 10, 2023
Last Updated
August 19, 2025

Practice Location

  • 150 Mount Hope Ave Rm 2
  • Rochester, NY 14620-1016

Phone: (714) 825-3780

Mailing Address

  • 707 S Grady Way Ste 400
  • Renton, WA 98057-3246

Specialties

  • Community/Retail Pharmacy (3336C0003X)
  • Durable Medical Equipment & Medical Supplies (332B00000X)
  • Long Term Care Pharmacy (3336L0003X)
  • Pharmacy (333600000X)
Full Record
NPI
1053192740
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Genoa Healthcare LLC
Mailing Street Address
707 S Grady Way Ste 400
Mailing City
Renton
Mailing State
WA
Mailing ZIP Code
98057-3246
Mailing Country
US
Mailing Phone
(253) 218-0830
Mailing Fax
(253) 217-4306
Practice Street Address
150 Mount Hope Ave Rm 2
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1016
Practice Country
US
Practice Phone
(714) 825-3780
Enumeration Date
October 10, 2023
Last Updated
August 19, 2025
Authorized Official Last Name
Bohmer
Authorized Official First Name
Karen
Authorized Official Title
Secretary
Authorized Official Phone
(224) 231-1833
Organization Subpart
No
Certification Date
August 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community/Retail Pharmacy (3336C0003X), Durable Medical Equipment & Medical Supplies (332B00000X), Long Term Care Pharmacy (3336L0003X), Pharmacy (333600000X)