{
"Npi": {
"NPI": "1265944508",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CRWON MEDICAL 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": "695 HIGHWAY 3 N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMPTON",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30228-2832",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "678-782-7044",
"MailingAddressFaxNumber": "678-782-7046",
"FirstLinePracticeLocationAddress": "695 HIGHWAY 3 N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAMPTON",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30228-2832",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "678-782-7044",
"PracticeLocationAddressFaxNumber": "678-782-7046",
"EnumerationDate": "10/26/2017",
"LastUpdateDate": "10/26/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "UYANWUNE",
"AuthorizedOfficialFirstName": "OBY",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "678-682-7044",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHRE010396",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}