{
"Npi": {
"NPI": "1144361569",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CENTURY PHARMACY, 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": "875 SOUTH HIGHWAY 27",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SOMERSET",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "42501",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "606-677-0073",
"MailingAddressFaxNumber": "606-678-9231",
"FirstLinePracticeLocationAddress": "875 SOUTH HIGHWAY 27",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SOMERSET",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "42501",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "606-677-0073",
"PracticeLocationAddressFaxNumber": "606-678-9231",
"EnumerationDate": "02/09/2007",
"LastUpdateDate": "12/21/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PYLES",
"AuthorizedOfficialFirstName": "JERRY",
"AuthorizedOfficialMiddleName": "DALE",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "606-677-0073",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "P06300",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}