{
"Npi": {
"NPI": "1386087245",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ABINGDON APOTHECARY, INC",
"ParentOrgTIN": null,
"OrgName": "ABINGDON APOTHECARY, 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": "26100 LEE HIGHWAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ABINGDON",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "24211",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "276-525-4633",
"MailingAddressFaxNumber": "276-525-4500",
"FirstLinePracticeLocationAddress": "26100 LEE HIGHWAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ABINGDON",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "24211",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "276-525-4633",
"PracticeLocationAddressFaxNumber": "276-525-4500",
"EnumerationDate": "04/10/2013",
"LastUpdateDate": "07/08/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COUNTS",
"AuthorizedOfficialFirstName": "EARL",
"AuthorizedOfficialMiddleName": "LEE",
"AuthorizedOfficialTitle": "PHARMACY MANAGER/PIC",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "276-525-4633",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "02011004509",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}