{
"Npi": {
"NPI": "1003130410",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HILLS APOTHECARY COMPOUNDING LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2715 CANDLEWOOD DR",
"SecondLineMailingAddress": "SUITE A1",
"MailingAddressCityName": "EMPORIA",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66801-6653",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "620-342-1661",
"MailingAddressFaxNumber": "620-342-1663",
"FirstLinePracticeLocationAddress": "2715 CANDLEWOOD DR",
"SecondLinePracticeLocationAddress": "SUITE A1",
"PracticeLocationAddressCityName": "EMPORIA",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66801-6653",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "620-342-1661",
"PracticeLocationAddressFaxNumber": "620-342-1663",
"EnumerationDate": "03/15/2010",
"LastUpdateDate": "03/15/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAAG",
"AuthorizedOfficialFirstName": "AMBER",
"AuthorizedOfficialMiddleName": "N",
"AuthorizedOfficialTitle": "PHARMACY OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "620-342-1661",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0004X",
"TaxonomyName": "Compounding Pharmacy",
"LicenseNumber": "2-09983",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}