{
"Npi": {
"NPI": "1043348055",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FARMACIA JUDITH 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": "CALLE MYRNA VAZQUEZ G-30",
"SecondLineMailingAddress": "URB. VALLE TOLIMA",
"MailingAddressCityName": "CAGUAS",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00725",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-258-1177",
"MailingAddressFaxNumber": "787-745-8470",
"FirstLinePracticeLocationAddress": "G30 CALLE MYRNA VAZQUEZ",
"SecondLinePracticeLocationAddress": "URB. VALLE TOLIMA",
"PracticeLocationAddressCityName": "CAGUAS",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00727-2337",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-258-1177",
"PracticeLocationAddressFaxNumber": "787-745-8470",
"EnumerationDate": "03/01/2007",
"LastUpdateDate": "07/28/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HERNANDEZ",
"AuthorizedOfficialFirstName": "ELBA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER PHARMACIST",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-258-1177",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}