{
"Npi": {
"NPI": "1396164935",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHYSICIANS & SURGEONS 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": "900 N PORTER AVE",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "NORMAN",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73071-6425",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-364-5222",
"MailingAddressFaxNumber": "405-364-7076",
"FirstLinePracticeLocationAddress": "900 N PORTER AVE",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "NORMAN",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73071-6425",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-364-5222",
"PracticeLocationAddressFaxNumber": "405-364-7076",
"EnumerationDate": "04/10/2014",
"LastUpdateDate": "04/10/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STINNETT",
"AuthorizedOfficialFirstName": "SHAUNA",
"AuthorizedOfficialMiddleName": "BETH",
"AuthorizedOfficialTitle": "PHARMACY MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPH",
"AuthorizedOfficialTelephoneNumber": "405-364-5222",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "7-1771",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}