{
"Npi": {
"NPI": "1093366577",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMMUNITY PHARMACY, LLC",
"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": "PO BOX 1222",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CALHOUN CITY",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38916-1222",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-600-0111",
"MailingAddressFaxNumber": "662-600-0010",
"FirstLinePracticeLocationAddress": "1101 N MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CALHOUN CITY",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38916-9677",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-600-0111",
"PracticeLocationAddressFaxNumber": "662-600-0010",
"EnumerationDate": "09/25/2019",
"LastUpdateDate": "12/31/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FITTS",
"AuthorizedOfficialFirstName": "APRIL",
"AuthorizedOfficialMiddleName": "STRICKLAND",
"AuthorizedOfficialTitle": "PHARMACIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM. D",
"AuthorizedOfficialTelephoneNumber": "225-715-9146",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}