{
"Npi": {
"NPI": "1295766582",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LITTLE SILVER FAMILY 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": "10 CHURCH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LITTLE SILVER",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07739-1440",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "732-741-1121",
"MailingAddressFaxNumber": "732-224-0107",
"FirstLinePracticeLocationAddress": "10 CHURCH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LITTLE SILVER",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07739-1440",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "732-741-1121",
"PracticeLocationAddressFaxNumber": "732-224-0107",
"EnumerationDate": "07/05/2006",
"LastUpdateDate": "10/13/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": "12/07/2011",
"NPIReactivationDate": "12/29/2011",
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PARISI",
"AuthorizedOfficialFirstName": "MATTHEW",
"AuthorizedOfficialMiddleName": "JOSEPH",
"AuthorizedOfficialTitle": "OWNER PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "732-741-1121",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "28RS00576500",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}