{
"Npi": {
"NPI": "1366761850",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AUSTIN'S PHARMACY INC.",
"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": "1345 W HOBSONWAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLYTHE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92225-1425",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-921-2017",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1345 W HOBSONWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BLYTHE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92225-1425",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-921-2017",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/23/2010",
"LastUpdateDate": "05/23/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ATIYOTA",
"AuthorizedOfficialFirstName": "AUGUSTINE",
"AuthorizedOfficialMiddleName": "ERUACHABOR",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D",
"AuthorizedOfficialTelephoneNumber": "760-922-5966",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PHY 49945",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}