{
"Npi": {
"NPI": "1477035533",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ASPN PHARMACIES 2 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": "4850 E STREET RD STE 400",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TREVOSE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19053-6600",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-564-8004",
"MailingAddressFaxNumber": "866-581-1351",
"FirstLinePracticeLocationAddress": "4850 E STREET RD STE 400",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TREVOSE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19053-6600",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-564-8004",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/05/2018",
"LastUpdateDate": "01/20/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SILVA",
"AuthorizedOfficialFirstName": "ALBERTO",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "973-564-8004",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "24680305",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}