{
"Npi": {
"NPI": "1508264979",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "UHS RETAIL PHARMACY 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": "2345 E PRATER WAY",
"SecondLineMailingAddress": "SUITE 111",
"MailingAddressCityName": "SPARKS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89434-9600",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-350-0665",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2345 E PRATER WAY STE 111",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPARKS",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89434-9664",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "775-432-7907",
"PracticeLocationAddressFaxNumber": "775-343-0102",
"EnumerationDate": "12/16/2014",
"LastUpdateDate": "01/23/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PEMBER",
"AuthorizedOfficialFirstName": "MARVIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BSC PHARMACY",
"AuthorizedOfficialTelephoneNumber": "610-302-3300",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PH03261",
"LicenseNumberStateCode": "NV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}