{
"Npi": {
"NPI": "1740326396",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRIANGLE PHARMACY 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": "PO BOX 1508",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JENA",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "71342-1508",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-992-4447",
"MailingAddressFaxNumber": "318-992-8169",
"FirstLinePracticeLocationAddress": "3148 W OAK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JENA",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "71342-4404",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "318-992-4447",
"PracticeLocationAddressFaxNumber": "318-992-8169",
"EnumerationDate": "01/30/2007",
"LastUpdateDate": "07/18/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THOMPSON",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PIC",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "318-992-4447",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHY.005861-IR",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}