{
"Npi": {
"NPI": "1235558859",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ASBAC PHARMACY DBA MED CARE PHARMACY",
"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": "161 THUNDER DR",
"SecondLineMailingAddress": "SUITE #100",
"MailingAddressCityName": "VISTA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92083-6016",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-758-7650",
"MailingAddressFaxNumber": "760-758-8228",
"FirstLinePracticeLocationAddress": "161 THUNDER DR",
"SecondLinePracticeLocationAddress": "SUITE #100",
"PracticeLocationAddressCityName": "VISTA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92083-6016",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-758-7650",
"PracticeLocationAddressFaxNumber": "760-758-8228",
"EnumerationDate": "04/10/2014",
"LastUpdateDate": "04/10/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEVINS",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": "RAYMOND",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH.",
"AuthorizedOfficialTelephoneNumber": "760-758-7650",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PHA482370",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}