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1376091330 NPI number — JOHN SAMUEL BILLINGSLEY IV

NPI Number: 1376091330
Health Care Provider/Practitioner: JOHN SAMUEL BILLINGSLEY IV

Information about “1376091330” NPI (JOHN SAMUEL BILLINGSLEY IV) exists in 1376091330 in HTML format HTML  |  1376091330 in plain Text format TXT  |  1376091330 in PDF (Portable Document Format) PDF  |  1376091330 in an XML format XML  formats.

NPI Number : 1376091330 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376091330",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BILLINGSLEY",
    "FirstName": "JOHN",
    "MiddleName": "SAMUEL",
    "NamePrefix": null,
    "NameSuffix": "IV",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1545 LEE PEARSON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRANITE FALLS",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28630-9254",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-836-9370",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2700 S NC 127 HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HICKORY",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28602-9130",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-294-0058",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/19/2016",
    "LastUpdateDate": "09/19/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "26493",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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