{
"Npi": {
"NPI": "1578814539",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LITTLEROADPHARMACY 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": "4211 LITTLE RD",
"SecondLineMailingAddress": "UNIT # 4",
"MailingAddressCityName": "NEW PORT RICHEY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34655-1606",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-372-5222",
"MailingAddressFaxNumber": "727-372-5225",
"FirstLinePracticeLocationAddress": "4211 LITTLE RD",
"SecondLinePracticeLocationAddress": "UNIT # 4",
"PracticeLocationAddressCityName": "NEW PORT RICHEY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34655-1606",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-372-5222",
"PracticeLocationAddressFaxNumber": "727-372-5225",
"EnumerationDate": "09/30/2012",
"LastUpdateDate": "01/05/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SAEED",
"AuthorizedOfficialFirstName": "DALIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER / PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "718-213-5173",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PH26362",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}