{
"Npi": {
"NPI": "1306995618",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHILEN AND POWELL 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 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BEATRICE",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36425",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "251-743-3784",
"MailingAddressFaxNumber": "251-575-5936",
"FirstLinePracticeLocationAddress": "55 MAYFIELD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MONROEVILLE",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36460",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "251-743-3784",
"PracticeLocationAddressFaxNumber": "251-575-5936",
"EnumerationDate": "01/09/2007",
"LastUpdateDate": "03/07/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PHILEN",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "ROLAND",
"AuthorizedOfficialTitle": "PHARMACIST PHARMACY CO OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "REGISTERED PHARMACIS",
"AuthorizedOfficialTelephoneNumber": "251-743-3784",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "111321",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}