{
"Npi": {
"NPI": "1619218229",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AGS HOLDING 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": "25684 DIXIE HWY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PERRYSBURG",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43551-2019",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-874-8878",
"MailingAddressFaxNumber": "419-874-8898",
"FirstLinePracticeLocationAddress": "25684 DIXIE HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PERRYSBURG",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43551-2019",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-874-8878",
"PracticeLocationAddressFaxNumber": "419-874-8898",
"EnumerationDate": "03/06/2013",
"LastUpdateDate": "11/04/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHU",
"AuthorizedOfficialFirstName": "LAP PAN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD",
"AuthorizedOfficialTelephoneNumber": "419-699-5539",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "022300350",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}