{
"Npi": {
"NPI": "1396984522",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JP AND F 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": "422 HWY 29 N",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHINA GROVE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28023",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-856-2579",
"MailingAddressFaxNumber": "704-855-5556",
"FirstLinePracticeLocationAddress": "422 HIGHWAY 29 N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHINA GROVE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28023-0017",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "704-856-2579",
"PracticeLocationAddressFaxNumber": "704-855-5556",
"EnumerationDate": "02/11/2009",
"LastUpdateDate": "07/01/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CLODFELTER",
"AuthorizedOfficialFirstName": "ANTHONY",
"AuthorizedOfficialMiddleName": "C.",
"AuthorizedOfficialTitle": "PHARMACY MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "704-856-2579",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "10255",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}