{
"Npi": {
"NPI": "1386963593",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MACEY'S 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": "1850 W 2100 S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALT LAKE CITY",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84119-1304",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-978-8699",
"MailingAddressFaxNumber": "801-978-8634",
"FirstLinePracticeLocationAddress": "1212 E DRAPER PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DRAPER",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84020-9097",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-571-1406",
"PracticeLocationAddressFaxNumber": "801-571-1085",
"EnumerationDate": "05/27/2010",
"LastUpdateDate": "01/16/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HANSON",
"AuthorizedOfficialFirstName": "SHAWNA",
"AuthorizedOfficialMiddleName": "KIP",
"AuthorizedOfficialTitle": "DIRECTOR OF PHARMACY",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "801-978-8309",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}