NPI Code Detail JSON Logo

1073025193 NPI number — IV STAT INC

NPI Number: 1073025193
Health Care Provider/Practitioner: IV STAT INC

Information about “1073025193” NPI (IV STAT INC) exists in 1073025193 in HTML format HTML  |  1073025193 in plain Text format TXT  |  1073025193 in PDF (Portable Document Format) PDF  |  1073025193 in an XML format XML  formats.

NPI Number : 1073025193 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073025193",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "IV STAT INC",
    "ParentOrgTIN": null,
    "OrgName": "IV STAT INC",
    "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": "533 EGLIN PKWY NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WALTON BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32547-2829",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-226-8162",
    "MailingAddressFaxNumber": "850-226-8485",
    "FirstLinePracticeLocationAddress": "533 EGLIN PKWY NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WALTON BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32547-2829",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-226-8162",
    "PracticeLocationAddressFaxNumber": "850-226-8485",
    "EnumerationDate": "10/30/2017",
    "LastUpdateDate": "01/11/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCMORROW",
    "AuthorizedOfficialFirstName": "TRACY",
    "AuthorizedOfficialMiddleName": "LYNN",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "852-226-8162",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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