{
"Npi": {
"NPI": "1033660964",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "APNAR PHARMACY & SUPERMARKET INC.",
"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": "3095 S MILITARY TRL STE 7",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE WORTH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33463-2108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "561-508-5126",
"MailingAddressFaxNumber": "561-429-6196",
"FirstLinePracticeLocationAddress": "3095 S MILITARY TRL STE 7",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE WORTH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33463-2108",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-508-5126",
"PracticeLocationAddressFaxNumber": "561-429-6196",
"EnumerationDate": "10/14/2016",
"LastUpdateDate": "01/30/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KHAN",
"AuthorizedOfficialFirstName": "MOHAMMAD",
"AuthorizedOfficialMiddleName": "MAZHARUL ISLAM",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.PH",
"AuthorizedOfficialTelephoneNumber": "561-508-5126",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PH30402",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}