{
"Npi": {
"NPI": "1447676663",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NU QUANTUM CORPORATION",
"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": "589 W TENNYSON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAYWARD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94544-5233",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "510-266-0800",
"MailingAddressFaxNumber": "510-266-0809",
"FirstLinePracticeLocationAddress": "589 W TENNYSON RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAYWARD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94544-5233",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "510-266-0800",
"PracticeLocationAddressFaxNumber": "510-266-0809",
"EnumerationDate": "03/12/2014",
"LastUpdateDate": "03/02/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHENG",
"AuthorizedOfficialFirstName": "LAI-WING",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO/PHARMACY IN CHARGE",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D",
"AuthorizedOfficialTelephoneNumber": "510-770-0953",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}