{
"Npi": {
"NPI": "1679808133",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ADBRIGHT PHARMACY INCORPORATED",
"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": "4601 AVENUE H",
"SecondLineMailingAddress": "SUITE 1",
"MailingAddressCityName": "ROSENBERG",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77471-2038",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "281-341-7980",
"MailingAddressFaxNumber": "281-232-5314",
"FirstLinePracticeLocationAddress": "4601 AVENUE H STE 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROSENBERG",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77471-2038",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "281-341-7980",
"PracticeLocationAddressFaxNumber": "281-232-5314",
"EnumerationDate": "10/15/2009",
"LastUpdateDate": "11/04/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WOKOCHA",
"AuthorizedOfficialFirstName": "BRIGHT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR/ PIC",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "832-687-8639",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "26630",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}