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1053737700 NPI number — DRUGMASTERS L.L.C

NPI Number: 1053737700
Health Care Provider/Practitioner: DRUGMASTERS L.L.C

Information about “1053737700” NPI (DRUGMASTERS L.L.C) exists in 1053737700 in HTML format HTML  |  1053737700 in plain Text format TXT  |  1053737700 in PDF (Portable Document Format) PDF  |  1053737700 in an XML format XML  formats.

NPI Number : 1053737700 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053737700",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DRUGMASTERS L.L.C",
    "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": "85 OUTWATER LN",
    "SecondLineMailingAddress": "UNIT# 7",
    "MailingAddressCityName": "GARFIELD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07026-3824",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "862-225-9422",
    "MailingAddressFaxNumber": "862-225-9423",
    "FirstLinePracticeLocationAddress": "85 OUTWATER LN",
    "SecondLinePracticeLocationAddress": "UNIT# 7",
    "PracticeLocationAddressCityName": "GARFIELD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07026-3824",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "862-225-9422",
    "PracticeLocationAddressFaxNumber": "862-225-9423",
    "EnumerationDate": "03/05/2014",
    "LastUpdateDate": "01/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEE",
    "AuthorizedOfficialFirstName": "JOHN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "862-225-9422",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "28RS00731700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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