1104838770 NPI number — WILLIAM ALBERT HESS B.SC. IN PHARMACY

NPI Number: 1104838770
Health Care Provider/Practitioner: WILLIAM ALBERT HESS B.SC. IN PHARMACY

NPI Number : 1104838770 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104838770",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HESS",
    "FirstName": "WILLIAM",
    "MiddleName": "ALBERT",
    "NamePrefix": "PROF.",
    "NameSuffix": null,
    "Credential": "B.SC. IN PHARMACY",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "270 LARTRY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RED LION",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17356-8920",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-997-6851",
    "MailingAddressFaxNumber": "301-595-7933",
    "FirstLinePracticeLocationAddress": "10903 NEW HAMPSHIRE",
    "SecondLinePracticeLocationAddress": "WO32-ROOM 4152",
    "PracticeLocationAddressCityName": "SILVER SPRING",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20993-0002",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-796-8494",
    "PracticeLocationAddressFaxNumber": "301-595-7933",
    "EnumerationDate": "08/12/2006",
    "LastUpdateDate": "02/12/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "29504",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "9461",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}