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1649707647 NPI number — CDSRX, LLC

NPI Number: 1649707647
Health Care Provider/Practitioner: CDSRX, LLC

Information about “1649707647” NPI (CDSRX, LLC) exists in 1649707647 in HTML format HTML  |  1649707647 in plain Text format TXT  |  1649707647 in PDF (Portable Document Format) PDF  |  1649707647 in an XML format XML  formats.

NPI Number : 1649707647 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649707647",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CDSRX, 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": "3 GEDDES STREET EXT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLLEY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14470-1122",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "585-638-5499",
    "MailingAddressFaxNumber": "585-638-6149",
    "FirstLinePracticeLocationAddress": "3 GEDDES STREET EXT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOLLEY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14470-1122",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "585-638-5499",
    "PracticeLocationAddressFaxNumber": "585-638-6149",
    "EnumerationDate": "05/22/2017",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MILLER",
    "AuthorizedOfficialFirstName": "LUCAS",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "DIRECTOR OF PHARMACY",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "585-638-5499",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": "033281",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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