{
"Npi": {
"NPI": "1033601448",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "INJECTABLE MED COMPLIANCE",
"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": "2558 WHITNEY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMDEN",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06518-3046",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-530-0379",
"MailingAddressFaxNumber": "203-272-0640",
"FirstLinePracticeLocationAddress": "2558 WHITNEY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAMDEN",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06518-3046",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-530-0379",
"PracticeLocationAddressFaxNumber": "203-272-0640",
"EnumerationDate": "05/31/2018",
"LastUpdateDate": "05/31/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARISIO",
"AuthorizedOfficialFirstName": "HENRY",
"AuthorizedOfficialMiddleName": "FRANCIS",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "SR.",
"AuthorizedOfficialCredential": "R.N.",
"AuthorizedOfficialTelephoneNumber": "203-530-0379",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251J00000X",
"TaxonomyName": "Nursing Care Agency",
"LicenseNumber": "ES5401",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}