{
"Npi": {
"NPI": "1770250029",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SR PHARMACY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "146 ROBIN LN APT T6",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HUMMELSTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "17036-8249",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "717-982-2683",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3831 WALNUT ST UNIT C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HARRISBURG",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "17109-2533",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "717-220-8874",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/25/2021",
"LastUpdateDate": "08/25/2021",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATEL",
"AuthorizedOfficialFirstName": "SUNITABEN",
"AuthorizedOfficialMiddleName": "ALPESH",
"AuthorizedOfficialTitle": "PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D.",
"AuthorizedOfficialTelephoneNumber": "717-982-2683",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}