{
"Npi": {
"NPI": "1508296252",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GOOD HOMES PHARMACY, LLC",
"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": "8873 WEST COLONIAL DRIVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OCOEE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34761-6951",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-253-2933",
"MailingAddressFaxNumber": "407-253-2911",
"FirstLinePracticeLocationAddress": "8873 WEST COLONIAL DRIVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OCOEE",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34761-6951",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-253-2933",
"PracticeLocationAddressFaxNumber": "407-253-2911",
"EnumerationDate": "11/16/2013",
"LastUpdateDate": "04/08/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHEIKH",
"AuthorizedOfficialFirstName": "AAFAQ",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACY MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "407-491-5582",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PH 27106",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}