{
"Npi": {
"NPI": "1306804919",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THOMAS A NATCHUS PHARMACIST",
"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": "110 KINGSLEY LANE",
"SecondLineMailingAddress": "THOMAS A NATCHUS PHARMACIST DEPAUL MEDICAL BLDG",
"MailingAddressCityName": "NORFOLK",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "23505-4614",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "757-489-2755",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "110 KINGSLEY LANE",
"SecondLinePracticeLocationAddress": "DEPAUL MEDICAL BLDG",
"PracticeLocationAddressCityName": "NORFOLK",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23505-4614",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "757-489-2755",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/03/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NATCHUS",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PHARMACIST OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "757-489-2755",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "0201000803",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}