{
"Npi": {
"NPI": "1134348444",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LINCOLN PHARMACY 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": "2816 VEACH RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OWENSBORO",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42303-6295",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2816 VEACH RD",
"SecondLinePracticeLocationAddress": "LINCOLN PROFESSIONAL CTR",
"PracticeLocationAddressCityName": "OWENSBORO",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42303-6295",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "270-684-7278",
"PracticeLocationAddressFaxNumber": "270-685-1576",
"EnumerationDate": "04/25/2007",
"LastUpdateDate": "03/16/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOSKINS",
"AuthorizedOfficialFirstName": "MARYLOU",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PH",
"AuthorizedOfficialTelephoneNumber": "270-684-7278",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PO1144",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}