{
"Npi": {
"NPI": "1033480090",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PARKVILLE PHARMACY INC",
"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": "6875 LOCH RAVEN BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TOWSON",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21286-8302",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "410-825-0101",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6875 LOCH RAVEN BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TOWSON",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21286-8302",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "410-825-0101",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/24/2012",
"LastUpdateDate": "01/24/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YOUSUF",
"AuthorizedOfficialFirstName": "ANWAR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "410-599-5943",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "12345",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}