{
"Npi": {
"NPI": "1558752840",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SHERMAN PHARMACY 2 INC.",
"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": "5810 MYRTLE AVENUE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RIDGEWOOD",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11385-5021",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-628-8190",
"MailingAddressFaxNumber": "718-628-8191",
"FirstLinePracticeLocationAddress": "5810 MYRTLE AVENUE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "RIDGEWOOD",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11385-5021",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-628-8190",
"PracticeLocationAddressFaxNumber": "718-628-8191",
"EnumerationDate": "02/09/2015",
"LastUpdateDate": "07/07/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KAZMI",
"AuthorizedOfficialFirstName": "IMRAN",
"AuthorizedOfficialMiddleName": "S.",
"AuthorizedOfficialTitle": "PRESIDENT/SUPERVISING PHARMACIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "917-449-0086",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "034804",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}