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1407137524 NPI number — MARY ARCHER CONLON PHARMD

NPI Number: 1407137524
Health Care Provider/Practitioner: MARY ARCHER CONLON PHARMD

Information about “1407137524” NPI (MARY ARCHER CONLON PHARMD) exists in 1407137524 in HTML format HTML  |  1407137524 in plain Text format TXT  |  1407137524 in PDF (Portable Document Format) PDF  |  1407137524 in an XML format XML  formats.

NPI Number : 1407137524 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407137524",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONLON",
    "FirstName": "MARY",
    "MiddleName": "ARCHER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2633 GREGOR MCGREGOR BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FERNANDINA BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32034-2246",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-778-8913",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2101 SADLER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FERNANDINA BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32034-4452",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-277-9615",
    "PracticeLocationAddressFaxNumber": "904-261-4838",
    "EnumerationDate": "09/01/2011",
    "LastUpdateDate": "09/01/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "RPH021638",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PS41149",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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