{
"Npi": {
"NPI": "1518520717",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DR. HANK, 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": "PO BOX 33",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VALRICO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33595-0033",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-588-8094",
"MailingAddressFaxNumber": "615-469-4259",
"FirstLinePracticeLocationAddress": "300 20TH AVE N STE 105",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NASHVILLE",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37203-2162",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-588-8094",
"PracticeLocationAddressFaxNumber": "615-469-4259",
"EnumerationDate": "04/15/2019",
"LastUpdateDate": "08/07/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DUNKLAU",
"AuthorizedOfficialFirstName": "HENRY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "IV",
"AuthorizedOfficialCredential": "PHARM.D.",
"AuthorizedOfficialTelephoneNumber": "615-586-5378",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}