{
"Npi": {
"NPI": "1144587213",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ACP INTERNATIONAL, LLC",
"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": "90 W MADISON AVE",
"SecondLineMailingAddress": "STE 252",
"MailingAddressCityName": "BELGRADE",
"MailingAddressStateName": "MT",
"MailingAddressPostalCode": "59714-3955",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "406-599-0986",
"MailingAddressFaxNumber": "406-599-0986",
"FirstLinePracticeLocationAddress": "11 W MAIN ST",
"SecondLinePracticeLocationAddress": "STE 207",
"PracticeLocationAddressCityName": "BELGRADE",
"PracticeLocationAddressStateName": "MT",
"PracticeLocationAddressPostalCode": "59714-3700",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "406-599-0986",
"PracticeLocationAddressFaxNumber": "406-599-0986",
"EnumerationDate": "04/13/2012",
"LastUpdateDate": "04/13/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CARVER",
"AuthorizedOfficialFirstName": "JEFFERY",
"AuthorizedOfficialMiddleName": "SCOTT",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "406-599-0986",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PHA-PHR-LIC-1347",
"LicenseNumberStateCode": "MT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}