{
"Npi": {
"NPI": "1346494838",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMFORT 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": "870 MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STONE MOUNTAIN",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30083-3621",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-469-4040",
"MailingAddressFaxNumber": "770-469-4088",
"FirstLinePracticeLocationAddress": "870 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STONE MOUNTAIN",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30083-3621",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-469-4040",
"PracticeLocationAddressFaxNumber": "770-469-4088",
"EnumerationDate": "11/10/2008",
"LastUpdateDate": "05/31/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OKOJIE",
"AuthorizedOfficialFirstName": "OSA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "770-329-8454",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHRE009540",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}