{
"Npi": {
"NPI": "1013190776",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHARMACITY 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": "1232 STORRS RD",
"SecondLineMailingAddress": "STE 6",
"MailingAddressCityName": "STORRS MANSFIELD",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06268-2232",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "860-429-9365",
"MailingAddressFaxNumber": "860-429-0043",
"FirstLinePracticeLocationAddress": "1232 STORRS RD",
"SecondLinePracticeLocationAddress": "STE 6",
"PracticeLocationAddressCityName": "STORRS MANSFIELD",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06268-2232",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "860-429-9365",
"PracticeLocationAddressFaxNumber": "860-429-0043",
"EnumerationDate": "12/17/2007",
"LastUpdateDate": "07/15/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAJUDEEN",
"AuthorizedOfficialFirstName": "NAUFEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "732-766-1151",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PCY0000645",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}