{
"Npi": {
"NPI": "1124273537",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "S & W PHARMACIES, 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": "220 W PEARL ST APT A",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TREMONT",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61568-7905",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "309-925-2400",
"MailingAddressFaxNumber": "309-925-5301",
"FirstLinePracticeLocationAddress": "220 W PEARL ST APT A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TREMONT",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "61568-7905",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "309-925-2400",
"PracticeLocationAddressFaxNumber": "309-925-5301",
"EnumerationDate": "11/26/2008",
"LastUpdateDate": "04/05/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WIEMER",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "309-925-2400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}