{
"Npi": {
"NPI": "1235765538",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VIRX 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": "3000 GOLDEN ROCK SHOPPING CENTER SUITE 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHRISTIANSTED",
"MailingAddressStateName": "VI",
"MailingAddressPostalCode": "00820-4311",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "340-718-7666",
"MailingAddressFaxNumber": "340-718-4811",
"FirstLinePracticeLocationAddress": "6040 CASTLE COAKLEY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHRISTIANSTED",
"PracticeLocationAddressStateName": "VI",
"PracticeLocationAddressPostalCode": "00820-4311",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "340-718-7666",
"PracticeLocationAddressFaxNumber": "340-718-4811",
"EnumerationDate": "03/18/2020",
"LastUpdateDate": "03/18/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROMANACH",
"AuthorizedOfficialFirstName": "ANTONIO",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "GENERAL MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "305-303-5645",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}