{
"Npi": {
"NPI": "1053927921",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LU & WEBER CORPORATION",
"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": "10521 GARDEN GROVE BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GARDEN GROVE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92843-1128",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-590-3620",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10521 GARDEN GROVE BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GARDEN GROVE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92843-1128",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-590-3620",
"PracticeLocationAddressFaxNumber": "714-590-3628",
"EnumerationDate": "09/16/2020",
"LastUpdateDate": "09/16/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEBER",
"AuthorizedOfficialFirstName": "ROSALIE",
"AuthorizedOfficialMiddleName": "LU",
"AuthorizedOfficialTitle": "PRESIDENT/CEO",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D.",
"AuthorizedOfficialTelephoneNumber": "714-590-3620",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336S0011X",
"TaxonomyName": "Specialty Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}