{
"Npi": {
"NPI": "1104139294",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KINGS DRUGS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "35930 HWY 27",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAINES CITY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33844-3737",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "863-422-1888",
"MailingAddressFaxNumber": "863-422-1811",
"FirstLinePracticeLocationAddress": "35930 HWY 27",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAINES CITY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33844-3737",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "863-422-1888",
"PracticeLocationAddressFaxNumber": "863-422-1811",
"EnumerationDate": "07/19/2010",
"LastUpdateDate": "07/19/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FADARE",
"AuthorizedOfficialFirstName": "ABIOLA",
"AuthorizedOfficialMiddleName": "ODUOLA",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "813-390-2482",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PH24732",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}