{
"Npi": {
"NPI": "1104133990",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ONE STOP PRESCRIPTION EL MONTE 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": "10 AVE SIMON MADERA",
"SecondLineMailingAddress": "PARCELAS FALU",
"MailingAddressCityName": "SAN JUAN",
"MailingAddressStateName": "PR",
"MailingAddressPostalCode": "00924-2231",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "787-751-9606",
"MailingAddressFaxNumber": "787-751-0286",
"FirstLinePracticeLocationAddress": "CENTRO COMERCIAL DORADO DEL MAR",
"SecondLinePracticeLocationAddress": "CARR 693 KM 8",
"PracticeLocationAddressCityName": "DORADO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00646",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-278-6010",
"PracticeLocationAddressFaxNumber": "787-796-2106",
"EnumerationDate": "09/01/2010",
"LastUpdateDate": "09/06/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VANGA",
"AuthorizedOfficialFirstName": "VANESSA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "787-751-9606",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "18-F-2883",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}