NPI Code Detail JSON Logo

1083374110 NPI number — SERVMED RX LLC

NPI Number: 1083374110
Health Care Provider/Practitioner: SERVMED RX LLC

Information about “1083374110” NPI (SERVMED RX LLC) exists in 1083374110 in HTML format HTML  |  1083374110 in plain Text format TXT  |  1083374110 in PDF (Portable Document Format) PDF  |  1083374110 in an XML format XML  formats.

NPI Number : 1083374110 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083374110",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SERVMED RX LLC",
    "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": "307 S FRIENDSWOOD DR STE D1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRIENDSWOOD",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77546-3950",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "307 S FRIENDSWOOD DR STE D1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRIENDSWOOD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77546-3950",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "346-313-8575",
    "PracticeLocationAddressFaxNumber": "346-313-8576",
    "EnumerationDate": "12/30/2021",
    "LastUpdateDate": "06/08/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WASHINGTON",
    "AuthorizedOfficialFirstName": "MONIQUE",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "346-313-8575",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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