{
"Npi": {
"NPI": "1437636404",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WEBBS FAMILY PHARMACY 3 LLC",
"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": "103 N HEETER ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTH MANCHESTER",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46962-1956",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "260-982-1000",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "103 N HEETER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH MANCHESTER",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46962",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "260-982-1000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/23/2018",
"LastUpdateDate": "12/22/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEBB",
"AuthorizedOfficialFirstName": "HARRY",
"AuthorizedOfficialMiddleName": "ROBERT",
"AuthorizedOfficialTitle": "GENERAL PARTNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PD",
"AuthorizedOfficialTelephoneNumber": "260-982-1000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "600006680A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}