{
"Npi": {
"NPI": "1629175567",
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMMUNITY PHARMACY OF ALBEMARLE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "320 YADKIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALBEMARLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28001-3447",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-982-9179",
"MailingAddressFaxNumber": "704-983-5557",
"FirstLinePracticeLocationAddress": "320 YADKIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALBEMARLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28001-3447",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "704-982-9179",
"PracticeLocationAddressFaxNumber": "704-983-5557",
"EnumerationDate": "09/20/2006",
"LastUpdateDate": "05/04/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RICHARDS",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VICE PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "704-904-3287",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "12563",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}