{
"Npi": {
"NPI": "1023220944",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRUSTMORE INCORPORATED",
"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": "102 METROPLEX BLVD",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "PEARL",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39208-9202",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-502-2350",
"MailingAddressFaxNumber": "601-939-1199",
"FirstLinePracticeLocationAddress": "102 METROPLEX BLVD",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "PEARL",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39208-9202",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-502-2350",
"PracticeLocationAddressFaxNumber": "601-939-1199",
"EnumerationDate": "05/04/2007",
"LastUpdateDate": "03/25/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KELLY",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "601-946-3939",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": "06864026",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}