{
"Npi": {
"NPI": "1164575296",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SRI SATYA SAI 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": "533 HAMILTON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TRENTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08609-2625",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-393-1776",
"MailingAddressFaxNumber": "609-393-4426",
"FirstLinePracticeLocationAddress": "533 HAMILTON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TRENTON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08609-2625",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-393-1776",
"PracticeLocationAddressFaxNumber": "609-393-4426",
"EnumerationDate": "01/20/2007",
"LastUpdateDate": "09/17/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BHAVANAM",
"AuthorizedOfficialFirstName": "RAGHUNATH",
"AuthorizedOfficialMiddleName": "REDDY",
"AuthorizedOfficialTitle": "PHARMACIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "B.PHARMACY",
"AuthorizedOfficialTelephoneNumber": "609-393-1775",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "28RS00650400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}