{
"Npi": {
"NPI": "1801958517",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRENT EAST PHARMACY",
"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": "937 US HIGHWAY 70 E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW BERN",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28560-6535",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "252-638-6500",
"MailingAddressFaxNumber": "252-638-1233",
"FirstLinePracticeLocationAddress": "937 US HIGHWAY 70 E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW BERN",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28560-6535",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "252-638-6500",
"PracticeLocationAddressFaxNumber": "252-638-1233",
"EnumerationDate": "12/16/2006",
"LastUpdateDate": "10/11/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAUGHTRY",
"AuthorizedOfficialFirstName": "NATHAN",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "PHARMACIST MANAGER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM.D., R.PH.",
"AuthorizedOfficialTelephoneNumber": "252-638-6500",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "5257",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}