{
"Npi": {
"NPI": "1376660720",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "A.V PHARMACY",
"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": "38750 TRADE CENTER DR",
"SecondLineMailingAddress": "SUITE G",
"MailingAddressCityName": "PALMDALE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93551-3787",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-272-6970",
"MailingAddressFaxNumber": "661-272-6966",
"FirstLinePracticeLocationAddress": "38750 TRADE CENTER DR",
"SecondLinePracticeLocationAddress": "SUITE G",
"PracticeLocationAddressCityName": "PALMDALE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93551-3787",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-272-6970",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/23/2007",
"LastUpdateDate": "06/20/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NGUYEN",
"AuthorizedOfficialFirstName": "LUCIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "661-272-6970",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}