{
"Npi": {
"NPI": "1568573616",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CASTRODEL DRUG CORP",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "62 MOUNTAIN BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WARREN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07059-5607",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "908-754-4400",
"MailingAddressFaxNumber": "908-754-1836",
"FirstLinePracticeLocationAddress": "62 MOUNTAIN BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WARREN",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07059-5607",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "908-754-4400",
"PracticeLocationAddressFaxNumber": "908-754-1836",
"EnumerationDate": "08/31/2006",
"LastUpdateDate": "07/07/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CASTRONOVO",
"AuthorizedOfficialFirstName": "STEVEN",
"AuthorizedOfficialMiddleName": "P.",
"AuthorizedOfficialTitle": "PRES.",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH.",
"AuthorizedOfficialTelephoneNumber": "908-754-4400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "RS00354",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}