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1730169103 NPI number — CAMACHO APOTHECARY INC

NPI Number: 1730169103
Health Care Provider/Practitioner: CAMACHO APOTHECARY INC

Information about “1730169103” NPI (CAMACHO APOTHECARY INC) exists in 1730169103 in HTML format HTML  |  1730169103 in plain Text format TXT  |  1730169103 in PDF (Portable Document Format) PDF  |  1730169103 in an XML format XML  formats.

NPI Number : 1730169103 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730169103",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CAMACHO APOTHECARY 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": "509 ELIZABETH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELIZABETH",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07206-1130",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "908-355-1784",
    "MailingAddressFaxNumber": "908-248-0038",
    "FirstLinePracticeLocationAddress": "509 ELIZABETH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELIZABETH",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07206-1130",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-355-1784",
    "PracticeLocationAddressFaxNumber": "908-248-0038",
    "EnumerationDate": "01/20/2006",
    "LastUpdateDate": "04/27/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOLDFELD",
    "AuthorizedOfficialFirstName": "LEONARD",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHARMACIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "908-355-1784",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "28RS00428700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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