NPI Code Detail JSON Logo

1619128402 NPI number — REMINGTON HERITAGE INC

NPI Number: 1619128402
Health Care Provider/Practitioner: REMINGTON HERITAGE INC

Information about “1619128402” NPI (REMINGTON HERITAGE INC) exists in 1619128402 in HTML format HTML  |  1619128402 in plain Text format TXT  |  1619128402 in PDF (Portable Document Format) PDF  |  1619128402 in an XML format XML  formats.

NPI Number : 1619128402 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619128402",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "REMINGTON HERITAGE INC",
    "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": "4323 N JOSEY LN",
    "SecondLineMailingAddress": "STE 102",
    "MailingAddressCityName": "CARROLLTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75010-4633",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4323 N JOSEY LN",
    "SecondLinePracticeLocationAddress": "STE 102",
    "PracticeLocationAddressCityName": "CARROLLTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75010-4633",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-395-3100",
    "PracticeLocationAddressFaxNumber": "972-395-3103",
    "EnumerationDate": "10/10/2008",
    "LastUpdateDate": "10/15/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TOMETI",
    "AuthorizedOfficialFirstName": "KUNLE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PIC",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "972-294-9552",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0004X",
          "TaxonomyName": "Compounding Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "26205",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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