{
"Npi": {
"NPI": "1396763751",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHARMACY PLUS 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": "658 WHITE HORSE DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27834-7829",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "252-752-2363",
"MailingAddressFaxNumber": "252-752-0358",
"FirstLinePracticeLocationAddress": "2029 BOULEVARD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLONIAL HEIGHTS",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "23834-2309",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "804-520-2400",
"PracticeLocationAddressFaxNumber": "804-526-7847",
"EnumerationDate": "07/17/2006",
"LastUpdateDate": "03/29/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BAHLMAN",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "804-520-2400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "0201002581",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}