{
"Npi": {
"NPI": "1184863821",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MED 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": "505 REDLAND BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCKVILLE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "20850-5706",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-656-7080",
"MailingAddressFaxNumber": "301-656-7082",
"FirstLinePracticeLocationAddress": "8401 CONNECTICUT AVE",
"SecondLinePracticeLocationAddress": "STE 110",
"PracticeLocationAddressCityName": "CHEVY CHASE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "20815-5803",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-656-7080",
"PracticeLocationAddressFaxNumber": "301-656-7082",
"EnumerationDate": "02/19/2009",
"LastUpdateDate": "02/04/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DARJ",
"AuthorizedOfficialFirstName": "ELNAZ",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "301-656-7080",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "P04981",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}