{
"Npi": {
"NPI": "1629186044",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMMUNITY PHARMACY CARE 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": "127 CRESTVIEW PARK DR",
"SecondLineMailingAddress": "STE 100",
"MailingAddressCityName": "DICKSON",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37055-2854",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "615-446-8043",
"MailingAddressFaxNumber": "615-446-7556",
"FirstLinePracticeLocationAddress": "127 CRESTVIEW PARK DR",
"SecondLinePracticeLocationAddress": "STE 100",
"PracticeLocationAddressCityName": "DICKSON",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37055-2854",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-446-8043",
"PracticeLocationAddressFaxNumber": "615-446-7556",
"EnumerationDate": "08/26/2006",
"LastUpdateDate": "03/08/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GEORGE",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": "H",
"AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D",
"AuthorizedOfficialTelephoneNumber": "615-446-8043",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "324",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}