{
"Npi": {
"NPI": "1801267331",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DISCOUNT PHARMACY OF DILLON LLC",
"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": "1115B US 301 NORTH",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DILLON",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29536",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "843-356-0172",
"MailingAddressFaxNumber": "843-383-8855",
"FirstLinePracticeLocationAddress": "1115 HIGHWAY 301 N STE B",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DILLON",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29536-2498",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "843-356-0172",
"PracticeLocationAddressFaxNumber": "843-383-8855",
"EnumerationDate": "10/09/2015",
"LastUpdateDate": "10/09/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DRUCKER",
"AuthorizedOfficialFirstName": "SAMUEL",
"AuthorizedOfficialMiddleName": "EDWARD",
"AuthorizedOfficialTitle": "OWNER/PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH.",
"AuthorizedOfficialTelephoneNumber": "843-356-0172",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}