{
"Npi": {
"NPI": "1417680943",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PHARMACY PLUS INC",
"ParentOrgTIN": null,
"OrgName": "PHARMACY PLUS 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": "3020 CORPORATE CT STE 300",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FLOWER MOUND",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75028-5617",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "972-539-3624",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "101 PLAZA PL STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTHLAKE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76226-3485",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "469-949-9797",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/01/2022",
"LastUpdateDate": "04/26/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NEALE",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "972-539-3624",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336C0004X",
"TaxonomyName": "Compounding Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}