{
"Npi": {
"NPI": "1538089701",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "MARTIN TIPTON PHARMACY LLC",
"ParentOrgTIN": null,
"OrgName": "MARTIN TIPTON 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": "5901 BELL ST UNIT 3031",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "AMARILLO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79109-6231",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "806-310-6255",
"MailingAddressFaxNumber": "888-509-4505",
"FirstLinePracticeLocationAddress": "5901 BELL ST UNIT 3031",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "AMARILLO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79109-6231",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "806-310-6255",
"PracticeLocationAddressFaxNumber": "888-509-4505",
"EnumerationDate": "07/17/2026",
"LastUpdateDate": "07/17/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HAWVER",
"AuthorizedOfficialFirstName": "JOSHUA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "806-310-6255",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}