{
"Npi": {
"NPI": "1609851880",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FAITH PHARMACY, INC",
"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": "575 10TH ST E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALMETTO",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34221-4013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "941-729-2021",
"MailingAddressFaxNumber": "941-729-2123",
"FirstLinePracticeLocationAddress": "575 10TH ST E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PALMETTO",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34221-4013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "941-729-2021",
"PracticeLocationAddressFaxNumber": "941-729-2123",
"EnumerationDate": "12/12/2005",
"LastUpdateDate": "01/26/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OKPALEKE",
"AuthorizedOfficialFirstName": "LILLIAN",
"AuthorizedOfficialMiddleName": "T",
"AuthorizedOfficialTitle": "PHARMACY DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "941-729-2021",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PH21445",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}