{
"Npi": {
"NPI": "1487459269",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AUBURNDALE FAMILY PHARMACY INC",
"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": "28707 TAVIRA CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WESLEY CHAPEL",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33543-6441",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "570-780-5309",
"MailingAddressFaxNumber": "863-220-9938",
"FirstLinePracticeLocationAddress": "382 HAVENDALE BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AUBURNDALE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33823-4527",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "863-268-8008",
"PracticeLocationAddressFaxNumber": "863-220-9938",
"EnumerationDate": "02/17/2025",
"LastUpdateDate": "02/18/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATEL",
"AuthorizedOfficialFirstName": "JAYMISH",
"AuthorizedOfficialMiddleName": "NAVINCHANDRA",
"AuthorizedOfficialTitle": "PHARMACY OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM. D",
"AuthorizedOfficialTelephoneNumber": "570-780-5309",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}