{
"Npi": {
"NPI": "1174734974",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ACROPOLIS PHARMACIES, 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": "519 N CASS AVE",
"SecondLineMailingAddress": "4TH FLOOR #6",
"MailingAddressCityName": "WESTMONT",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60559-1514",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-969-4355",
"MailingAddressFaxNumber": "800-574-5288",
"FirstLinePracticeLocationAddress": "519 N CASS AVE",
"SecondLinePracticeLocationAddress": "4TH FLOOR #6",
"PracticeLocationAddressCityName": "WESTMONT",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60559-1514",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-969-4355",
"PracticeLocationAddressFaxNumber": "800-574-5288",
"EnumerationDate": "05/24/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DE RUITER",
"AuthorizedOfficialFirstName": "DIANE",
"AuthorizedOfficialMiddleName": "F",
"AuthorizedOfficialTitle": "COO",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N.",
"AuthorizedOfficialTelephoneNumber": "708-308-0553",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0002X",
"TaxonomyName": "Clinic Pharmacy",
"LicenseNumber": "54016193",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}