{
"Npi": {
"NPI": "1801375506",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HORSHAM PHARMACY 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": "316 HORSHAM RD STE E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HORSHAM",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19044-2114",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "267-282-5747",
"MailingAddressFaxNumber": "267-282-5732",
"FirstLinePracticeLocationAddress": "316 HORSHAM RD STE E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HORSHAM",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19044",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "267-282-5747",
"PracticeLocationAddressFaxNumber": "267-282-5732",
"EnumerationDate": "08/13/2018",
"LastUpdateDate": "11/22/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VU",
"AuthorizedOfficialFirstName": "CHRISTY",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "PHARMACIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMD.",
"AuthorizedOfficialTelephoneNumber": "267-282-5747",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PP482807",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}