{
"Npi": {
"NPI": "1205971132",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FAMILY HEALTH PHARMACIES, 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": "301 GEORGIA STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOUISIANA",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63353",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "573-754-4551",
"MailingAddressFaxNumber": "573-754-6934",
"FirstLinePracticeLocationAddress": "301 GEORGIA ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOUISIANA",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63353-1717",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "573-754-4551",
"PracticeLocationAddressFaxNumber": "573-754-6934",
"EnumerationDate": "02/20/2007",
"LastUpdateDate": "03/22/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLACK",
"AuthorizedOfficialFirstName": "SHARI",
"AuthorizedOfficialMiddleName": "ELAYNE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "573-754-4551",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "005350",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}