{
"Npi": {
"NPI": "1518439314",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "YUVAN PHARMA 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": "605 S GEORGE ST STE 130",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YORK",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17401-3161",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-747-3586",
"MailingAddressFaxNumber": "717-747-3642",
"FirstLinePracticeLocationAddress": "605 S GEORGE ST STE 130",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "YORK",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17401-3161",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-747-3586",
"PracticeLocationAddressFaxNumber": "717-747-3642",
"EnumerationDate": "12/19/2018",
"LastUpdateDate": "01/10/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THUMMA",
"AuthorizedOfficialFirstName": "SRIKANTH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "630-877-0565",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}