{
"Npi": {
"NPI": "1306738463",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PATIENT'S PHARMACY, INC.",
"ParentOrgTIN": null,
"OrgName": "PATIENTS 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": "PO BOX 170",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JAMESTOWN",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14702-0170",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-483-6913",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "707 FAIRMOUNT AVE STE 6",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JAMESTOWN",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14701-2623",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-483-6913",
"PracticeLocationAddressFaxNumber": "716-483-2554",
"EnumerationDate": "07/15/2025",
"LastUpdateDate": "12/18/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MATHEWS",
"AuthorizedOfficialFirstName": "DIANE",
"AuthorizedOfficialMiddleName": "R.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "716-483-6913",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}