{
"Npi": {
"NPI": "1184057382",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOLLY BEE PARTNERS DBA PUTNEY PHARMACY",
"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": "PO BOX 508",
"SecondLineMailingAddress": "4 KIMBALL HILL ROAD",
"MailingAddressCityName": "PUTNEY",
"MailingAddressStateName": "VT",
"MailingAddressPostalCode": "05346-0508",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "802-387-4692",
"MailingAddressFaxNumber": "802-387-4131",
"FirstLinePracticeLocationAddress": "4 KIMBALL HILL ROAD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PUTNEY",
"PracticeLocationAddressStateName": "VT",
"PracticeLocationAddressPostalCode": "05346-0508",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "802-387-4692",
"PracticeLocationAddressFaxNumber": "802-387-4131",
"EnumerationDate": "08/12/2013",
"LastUpdateDate": "08/09/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HEAL",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "PHARMACIST/MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "802-387-4692",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "0380094973",
"LicenseNumberStateCode": "VT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}