{
"Npi": {
"NPI": "1487825485",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ARFSTROM PHARMACIES, INC.",
"ParentOrgTIN": null,
"OrgName": "ARFSTROM PHARMACIES, 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": "415 ASHMUN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAULT SAINTE MARIE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49783-1905",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "906-632-9661",
"MailingAddressFaxNumber": "906-632-2959",
"FirstLinePracticeLocationAddress": "409 ASHMUN STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAULT SAINTE MARIE",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49783",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "906-632-1923",
"PracticeLocationAddressFaxNumber": "906-632-2959",
"EnumerationDate": "03/18/2008",
"LastUpdateDate": "04/12/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCMILLAN",
"AuthorizedOfficialFirstName": "ANDREW",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER, PRESIDENT/TREASURER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D.",
"AuthorizedOfficialTelephoneNumber": "906-632-9661",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}