{
"Npi": {
"NPI": "1104195163",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "WHITE'S HEALTHCARE ENTERPRISES INC.",
"ParentOrgTIN": null,
"OrgName": "WHITE'S HEALTHCARE ENTERPRISES 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": "60B SOUTH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORRISTOWN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07960",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-292-1166",
"MailingAddressFaxNumber": "973-292-0140",
"FirstLinePracticeLocationAddress": "60B SOUTH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MORRISTOWN",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07960",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-292-1166",
"PracticeLocationAddressFaxNumber": "973-292-0140",
"EnumerationDate": "12/21/2011",
"LastUpdateDate": "12/21/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FAZZINI",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "OWNER, CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "REGISTERED PHARMACIS",
"AuthorizedOfficialTelephoneNumber": "973-292-1166",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "28RS00714400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}