{
"Npi": {
"NPI": "1609302744",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "STRASBURG PHARMACY LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "33820 OLD VALLEY PIKE STE 7",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "STRASBURG",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22657-3793",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-465-5001",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "33820 OLD VALLEY PIKE STE 7",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STRASBURG",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22657-3793",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "540-465-5001",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/10/2017",
"LastUpdateDate": "02/16/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOINI",
"AuthorizedOfficialFirstName": "NARESH KUMAR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "540-465-5001",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "0201004772",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}