{
"Npi": {
"NPI": "1750904744",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LIEN FAMILY PHARMACY CORPORATION",
"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": "3637 EUREKA WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "REDDING",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "96001-0177",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "530-768-1319",
"MailingAddressFaxNumber": "530-768-1321",
"FirstLinePracticeLocationAddress": "3637 EUREKA WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "REDDING",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "96001-0177",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-329-6455",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/25/2020",
"LastUpdateDate": "02/11/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LIEN",
"AuthorizedOfficialFirstName": "ANDREW",
"AuthorizedOfficialMiddleName": "VAN",
"AuthorizedOfficialTitle": "CEO, PIC",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D",
"AuthorizedOfficialTelephoneNumber": "530-768-1319",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}