{
"Npi": {
"NPI": "1285624015",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RLT PHARMACY, 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": "671 YONKERS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YONKERS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10704-2621",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-965-0686",
"MailingAddressFaxNumber": "914-376-9549",
"FirstLinePracticeLocationAddress": "671 YONKERS AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "YONKERS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10704-2621",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-965-0686",
"PracticeLocationAddressFaxNumber": "914-376-9549",
"EnumerationDate": "10/24/2005",
"LastUpdateDate": "05/08/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AMATO",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "SUPERVISING PHARMACIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.PH.",
"AuthorizedOfficialTelephoneNumber": "914-965-0686",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "023164",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}