Overview
Geneva Pharmacy LLC is a Community/Retail Pharmacy (organization) practicing in Geneva, Illinois. The National Provider Identifier (NPI) is #1639848021, which was assigned on September 8, 2021, and the registration record was last updated on September 15, 2021. The practitioner's main practice location is at 501 E State St, Geneva, IL 60134-2338; the contact telephone number is 3312656136, and the fax number is 3312656137. The primary taxonomy of Geneva Pharmacy LLC is Community/Retail Pharmacy (3336C0003X), with specialization in Community/Retail Pharmacy. The authorized official for Geneva Pharmacy LLC is Dr. Clarke Kueltzo (President).
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.
Provider Information
| NPI | 1639848021 |
| Entity Type | Organization |
| Organization Name | GENEVA PHARMACY LLC |
| Provider Name | GENEVA PHARMACY LLC |
| Practice Address | 501 E State St Geneva IL 60134-2338 |
| Practice Telephone | 3312656136 |
| Practice Fax Number | 3312656137 |
| Mailing Address | 501 E State St Geneva IL 60134-2338 |
| Mailing Telephone | 3312656136 |
| Mailing Fax Number | 3312656137 |
| Certification Date | 2021-09-15 |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-15 |
| Is Organization Subpart | N |
Authorized Official Information
| Official Name | DR. CLARKE KUELTZO |
| Official Title | PRESIDENT |
| Credential | PHARMD |
| Telephone | 3312656136 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 3336C0003X | Pharmacy | Community/Retail Pharmacy |
Other Provider Names
| Other Organization Name | Type |
|---|---|
| Geneva Pharmacy | Doing Business As Name |
Providers with the same name
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Geneva Pharmacy LLC · Geneva Pharmacy, LLC | 20513 Nicholas Cir Ste 3, Elkhorn, NE 68022-2971 | Pharmacy | 2016-09-22 |
Taxonomy Information
Primary Taxonomy
| Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| Grouping | Suppliers |
| Definition: 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] |
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Access Pharmacy Inc | 5910 99th St, Flushing, NY 11368-4304 | Community/Retail Pharmacy | 2024-05-07 |
| Saint Patrick Pharmacy Corp | 3920 29th St, Long Island City, NY 11101-3708 | Community/Retail Pharmacy | 2024-05-09 |
| Svr Drugs Corp | 389 E 138th St, Bronx, NY 10454-3099 | Community/Retail Pharmacy | 2024-05-10 |
| 10412 China Spring Rd Ste A, Waco, TX 76708-5685 | Community/Retail Pharmacy | 2024-05-10 | |
| D2rx, LLC | 233 Main Street, New Britain, CT 06051 | Community/Retail Pharmacy | 2024-05-07 |
| Stacey Rene Blackmon | 606 W Main St Ste A, Cookeville, TN 38506-5395 | Community/Retail Pharmacy | 2024-05-07 |
| Omni Family Health | 4815 E Butler Ave Ste B, Fresno, CA 93727-5015 | Community/Retail Pharmacy | 2024-05-08 |
| Carewise Pharmacy LLC | 7651 Sw Highway 200 Unit 108-109, Ocala, FL 34476-7726 | Community/Retail Pharmacy | 2024-05-08 |
| 1918 Winter Street Operating Co LLC | 7 Corporate Dr, Keene, NH 03431-5042 | Community/Retail Pharmacy | 2024-05-09 |
| Vital Health Pharmacy LLC | 17950 Woodward Ave Ste 2, Detroit, MI 48203-2260 | Community/Retail Pharmacy | 2024-05-10 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 501 E STATE ST |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-2338 |
| Country | US |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Vipin Mathew | Rmg Family Medicine, 298 Randall Road, Geneva, IL 60134 | Student in an Organized Health Care Education/Training Program | 2022-03-28 |
| Jill R. Patel | 142-E S Randall Rd., Bartlett, IL 60134 | Family Nurse Practitioner | 2023-12-08 |
| Kylie L Mack | 351 Delnor Dr #100, Geneva, IL 60134 | Physician Assistant | 2012-10-16 |
| Emily Byars | 1111 Greenfield Circle, Geneva, IL 60134 | Primary Care Clinic/Center | 2017-07-03 |
| Christopher Lee Robinson | 25 N 3rd St Ste 100, Geneva, IL 60134 | Student in an Organized Health Care Education/Training Program | 2017-03-27 |
| Sheri Marie Johnson | Geneva Hearing Services, 637 W State Street, Geneva, IL 60134 | Hearing Instrument Specialist | 2023-11-28 |
| Nicole Collins | 1125 Lewis Road, Geneva, IL 60134 | Athletic Trainer | 2018-05-01 |
| Samantha Courtney | 1120 Randall Ct., Geneva, IL 60134 | Mental Health Counselor | 2017-02-09 |
| Liana Rae Madsen · Liana Rae Johnson | 300 Randall Road, Geneva, IL 60134 | Registered Nurse | 2015-04-22 |
| Gina Marie Gilchrist | 39w479 W Haladay Ln, Geneva, IL 60134 | Registered Dietitian | 2013-09-16 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Geneva Woods Pharmacy, LLC · Geneva Woods Mat-Su Pharmacy #48551 | 3674 E Country Field Cir, Ste A, Wasilla, AK 99654-5101 | Long Term Care Pharmacy | 2006-09-27 |
| Geneva Woods Pharmacy, LLC · Geneva Woods Medset Pharmacy #48553 | 501 W International Airport Rd Ste 6, Anchorage, AK 99518-1106 | Long Term Care Pharmacy | 2006-10-03 |
| Geneva Woods Pharmacy, Inc. · Geneva Woods Pharmacy 48556 | 950 E Bogard Rd Ste 229, Wasilla, AK 99654-7185 | Community/Retail Pharmacy | 2008-02-15 |
| Geneva Woods Pharmacy, LLC | 1310 Elm St, Helena, MT 59601-0930 | Parenteral & Enteral Nutrition Supplies (DME) | 2013-10-30 |
| 60 West St, Geneva, OH 44041-9723 | Skilled Nursing Facility | 2006-10-31 | |
| Geneva Woods Pharmacy, Inc. · Geneva Woods Pharmacy 48549 | 2600 Winne Ave, Ste A, Helena, MT 59601-4900 | Community/Retail Pharmacy | 2013-10-30 |
| University Hospitals Geneva Medical Center · Geneva House Providers | 870 W Main St, Geneva, OH 44041-1219 | Physician Assistant | 2015-07-30 |
| Geneva Woods Pharmacy Wyoming, LLC · Geneva Woods Pharmacy and Infusion Services 48544 | 2546 E 2nd St Bldg 100, Building 100, Casper, WY 82609-2062 | Long Term Care Pharmacy | 2005-08-26 |
| Geneva Woods Retail Pharmacy, LLC · Geneva Woods Pharmacy 48543 | 1522 East A St, Casper, WY 82601-2217 | Community/Retail Pharmacy | 2011-06-30 |
| Geneva Woods Retail Pharmacy, LLC · Geneva Woods Compounding Specialists 48542 | 2546 E 2nd St Bldg 100, Ste C, Casper, WY 82609-2062 | Compounding Pharmacy | 2006-06-21 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
