{
"Npi": {
"NPI": "1023136645",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FARMACIA DEL CARMEN",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 385",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LARES",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00669-0385",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-897-2900",
"MailingAddressFaxNumber": "787-897-5854",
"FirstLinePracticeLocationAddress": "#3 RAMIREZ SREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LARES",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00669",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-897-2900",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/26/2007",
"LastUpdateDate": "06/23/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "IRIZARRY",
"AuthorizedOfficialFirstName": "JOSE",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "PHARMACIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-897-2900",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "09F1053",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}