| Name: | GENOA HEALTHCARE OF RHODE ISLAND I, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 07 Mar 2006 (19 years ago) |
| Date of Dissolution: | 27 Apr 2018 (7 years ago) |
| Date of Status Change: | 27 Apr 2018 (7 years ago) |
| Identification Number: | 000154490 |
| Principal Address: | 18300 CASCADE AVENUE SOUTH SUITE 251, TUKWILA, WA, 98106, USA |
| Purpose: | PHARMACY - PRESCRIPTION DRUGS AND RELATED SERVICES |
NAICS
446110 Pharmacies and Drug StoresThis industry comprises establishments known as pharmacies and drug stores engaged in retailing prescription or nonprescription drugs and medicines. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245405190 | 2008-04-22 | 2012-04-25 | PO BOX 77030, MINNEAPOLIS, MN, 554807730, US | 2756 POST RD, WARWICK, RI, 028863003, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 253-218-0830 |
| Fax | 2532174306 |
| Phone | +1 401-921-5660 |
| Fax | 4019216411 |
Authorized person
| Name | RYAN NIEMEYER |
| Role | CONTROLLER |
| Phone | 2532180830 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PHA00440 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PHA00440 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PHA00440 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 201862922350 | Articles of Dissolution | 2018-04-27 |
| 201751132970 | Annual Report | 2017-10-06 |
| 201747534410 | Statement of Change of Registered/Resident Agent | 2017-07-21 |
| 201611238710 | Annual Report | 2016-10-27 |
| 201579708560 | Annual Report | 2015-09-18 |
| 201446761810 | Annual Report | 2014-09-26 |
| 201328397320 | Annual Report | 2013-09-19 |
| 201324545770 | Statement of Change of Registered/Resident Agent Office | 2013-06-17 |
| 201312742110 | Statement of Change of Registered/Resident Agent Office | 2013-02-12 |
| 201298523260 | Annual Report | 2012-09-20 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
