{
"Npi": {
"NPI": "1578521845",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MEDICINE MADE EASY",
"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": "19300 S HAMILTON AVE",
"SecondLineMailingAddress": "SUITE 170 & 180",
"MailingAddressCityName": "GARDENA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90248-4400",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-972-2999",
"MailingAddressFaxNumber": "310-972-2995",
"FirstLinePracticeLocationAddress": "19300 S HAMILTON AVE",
"SecondLinePracticeLocationAddress": "SUITE 170 & 180",
"PracticeLocationAddressCityName": "GARDENA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90248-4400",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-972-2999",
"PracticeLocationAddressFaxNumber": "310-972-2995",
"EnumerationDate": "05/03/2006",
"LastUpdateDate": "03/07/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FICHERA",
"AuthorizedOfficialFirstName": "RUSSELL",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "SENIOR VICE PRESIDENT AND TREASURER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "508-297-1018",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336S0011X",
"TaxonomyName": "Specialty Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PHY 50170",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}