{
"Npi": {
"NPI": "1770574519",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BURCH DISCOUNT DRUGS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "110 NORTH PECAN STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKELAND",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "31635-1457",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "229-482-3330",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "110 NORTH PECAN STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKELAND",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "31635-1457",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "229-482-3330",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/01/2005",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BURCH",
"AuthorizedOfficialFirstName": "RONALD",
"AuthorizedOfficialMiddleName": "DAVID",
"AuthorizedOfficialTitle": "PRESIDENT AND CHIEF PHARMACIST",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "229-482-3330",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PHRE006614",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}