{
"Npi": {
"NPI": "1154220309",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "EVERWELL PHARMACY RX LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "242 LINCOLN BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDDLESEX",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08846-2361",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "908-322-7200",
"MailingAddressFaxNumber": "908-322-7201",
"FirstLinePracticeLocationAddress": "242 LINCOLN BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MIDDLESEX",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08846-2361",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "908-322-7200",
"PracticeLocationAddressFaxNumber": "908-322-7201",
"EnumerationDate": "11/03/2026",
"LastUpdateDate": "11/03/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KHUNT",
"AuthorizedOfficialFirstName": "JITENDRA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "646-535-1721",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "3336S0011X",
"TaxonomyName": "Specialty Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}