{
"Npi": {
"NPI": "1093833105",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FOSTER HOLDINGS LTD",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "476864 HIGHWAY 95",
"SecondLineMailingAddress": "SUITE 3",
"MailingAddressCityName": "PONDERAY",
"MailingAddressStateName": "ID",
"MailingAddressPostalCode": "83852-5000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "208-265-0142",
"MailingAddressFaxNumber": "208-265-0185",
"FirstLinePracticeLocationAddress": "476864 HWY 95 N",
"SecondLinePracticeLocationAddress": "STE 3",
"PracticeLocationAddressCityName": "PONDERAY",
"PracticeLocationAddressStateName": "ID",
"PracticeLocationAddressPostalCode": "83852-9737",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "208-265-0142",
"PracticeLocationAddressFaxNumber": "208-265-0185",
"EnumerationDate": "03/27/2007",
"LastUpdateDate": "06/24/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FOSTER",
"AuthorizedOfficialFirstName": "JEFFREY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "208-290-5362",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "2152CP",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0004X",
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},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "2152CP",
"LicenseNumberStateCode": "ID",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}