{
"Npi": {
"NPI": "1326674870",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CARAWAY DRUG L.L.C",
"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": "4308 CLUBHOUSE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JONESBORO",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72405-8081",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-351-2697",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "106 W. STATE STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARAWAY",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72419",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-838-5750",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/17/2020",
"LastUpdateDate": "08/04/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAMILTON",
"AuthorizedOfficialFirstName": "BRADLEY",
"AuthorizedOfficialMiddleName": "TAYLOR",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D",
"AuthorizedOfficialTelephoneNumber": "870-351-2697",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}