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1093135691 NPI number — CVS/PHARMACY #9293

NPI Number: 1093135691
Health Care Provider/Practitioner: CVS/PHARMACY #9293

Information about “1093135691” NPI (CVS/PHARMACY #9293) exists in 1093135691 in HTML format HTML  |  1093135691 in plain Text format TXT  |  1093135691 in PDF (Portable Document Format) PDF  |  1093135691 in an XML format XML  formats.

NPI Number : 1093135691 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093135691",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CVS/PHARMACY #9293",
    "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": "1848 S POWER RD",
    "SecondLineMailingAddress": "APT 2323",
    "MailingAddressCityName": "MESS",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "270-480-3066",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "325 W APACHE TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "APACHE JUNCTION",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85120-3954",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-973-1129",
    "PracticeLocationAddressFaxNumber": "480-983-1547",
    "EnumerationDate": "04/22/2014",
    "LastUpdateDate": "04/22/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SMITH",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": "CRENSHAW",
    "AuthorizedOfficialTitle": "STAFF PHARMACIST",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "R.PH.",
    "AuthorizedOfficialTelephoneNumber": "480-983-1129",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": "S019677",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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