{
"Npi": {
"NPI": "1770919334",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "STAFFORD INVESTMENT VENTURES, INC",
"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": "2769 JEFFERSON DAVIS HWY",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "STAFFORD",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22554-8325",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "540-628-0290",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2769 JEFFERSON DAVIS HWY",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "STAFFORD",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22554-8325",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "540-628-0290",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/15/2013",
"LastUpdateDate": "12/19/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOAKYE",
"AuthorizedOfficialFirstName": "KWABENA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR/PHARMACIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D",
"AuthorizedOfficialTelephoneNumber": "703-868-8797",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}