{
"Npi": {
"NPI": "1750425872",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HACKETT AND HACKETT 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": "889 VENTURE DR # 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MORGANTOWN",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "26508-7307",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-292-2787",
"MailingAddressFaxNumber": "412-291-1682",
"FirstLinePracticeLocationAddress": "889 VENTURE DR # 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MORGANTOWN",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "26508-7307",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-292-2787",
"PracticeLocationAddressFaxNumber": "412-291-1682",
"EnumerationDate": "02/20/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HACKETT",
"AuthorizedOfficialFirstName": "WILBUR",
"AuthorizedOfficialMiddleName": "MORRIS",
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "R.PH.",
"AuthorizedOfficialTelephoneNumber": "304-292-2787",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "MP0552259",
"LicenseNumberStateCode": "WV",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}