{
"Npi": {
"NPI": "1538438130",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MT PLEASANT 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": "12395 MCCRACKEN RD",
"SecondLineMailingAddress": "STE G",
"MailingAddressCityName": "GARFIELD HEIGHTS",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44125-2967",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-672-4377",
"MailingAddressFaxNumber": "216-475-4200",
"FirstLinePracticeLocationAddress": "12395 MCCRACKEN RD STE G",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GARFIELD HEIGHTS",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44125-2946",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "216-672-4377",
"PracticeLocationAddressFaxNumber": "216-475-4200",
"EnumerationDate": "12/28/2011",
"LastUpdateDate": "03/09/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ASIEDU-GYEKYE",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/RESPONSIBLE PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "216-200-2488",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "RTP022169850",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}