Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genoa Healthcare LLC

Organization Long Term Care Pharmacy · NPI 1720468911

Genoa Healthcare LLC is a Long Term Care Pharmacy in Jackson, Mississippi. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3450 Highway 80 W Rm 68
Jackson, MS 39209
Phone: (601) 824-1667
Fax: (601) 825-6347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1720468911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Bohmer — Secretary · (224) 231-1833
NPI enumeratedJune 3, 2015
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024
Mailing address707 S Grady Way Ste 400, Renton, WA 98057-3246