{
"Npi": {
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROSEDALE PHARMACY NY 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": "14518 243RD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROSEDALE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11422-2411",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "347-548-0441",
"MailingAddressFaxNumber": "347-296-3237",
"FirstLinePracticeLocationAddress": "14518 243RD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROSEDALE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11422-2411",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "347-548-0441",
"PracticeLocationAddressFaxNumber": "347-296-3237",
"EnumerationDate": "06/17/2026",
"LastUpdateDate": "06/17/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SINGH",
"AuthorizedOfficialFirstName": "HARMANPREET",
"AuthorizedOfficialMiddleName": "PAL",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "347-433-2832",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}