{
"Npi": {
"NPI": "1366917874",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOREHEAD PHARMACIST GROUP, 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": "125 FOXGLOVE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOUNT STERLING",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40353-9735",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "606-929-5301",
"MailingAddressFaxNumber": "606-929-5298",
"FirstLinePracticeLocationAddress": "12544 US ROUTE 60",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ASHLAND",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "41102-9687",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "606-929-5301",
"PracticeLocationAddressFaxNumber": "606-929-5298",
"EnumerationDate": "10/11/2018",
"LastUpdateDate": "07/12/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEVENS",
"AuthorizedOfficialFirstName": "SHERRY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CPHT",
"AuthorizedOfficialTelephoneNumber": "606-929-5301",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}