{
"Npi": {
"NPI": "1801900105",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOWLIN ENTERPRISES 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": "595 VAN HOUTEN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLIFTON",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07013-2113",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-777-2428",
"MailingAddressFaxNumber": "973-777-8745",
"FirstLinePracticeLocationAddress": "595 VAN HOUTEN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLIFTON",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07013-2113",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-777-2428",
"PracticeLocationAddressFaxNumber": "973-777-8745",
"EnumerationDate": "08/17/2006",
"LastUpdateDate": "10/17/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAVAL",
"AuthorizedOfficialFirstName": "PURNENDU",
"AuthorizedOfficialMiddleName": "P",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D.",
"AuthorizedOfficialTelephoneNumber": "973-925-7757",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336S0011X",
"TaxonomyName": "Specialty Pharmacy",
"LicenseNumber": "28RS00341000",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "28RS00341000",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}