OrganizationActive
Genoa Healthcare of Minnesota, LLC
NPI 1376501510 · Pharmacy · Minneapolis, MN
Provider details
- NPI number
- 1376501510
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jodi Kersavage, Site Implementation(360) 601-2122
- License
- 262600-0 (MN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
825 S 8th St
Suite Sl-10
Minneapolis, MN 55404-1208
Phone: (612) 332-6522
Street-level locationGet directions
Mailing address
510 E Main St
Auburn, WA 98002-5502
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.