{
"Npi": {
"NPI": "1801975008",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "39TH MEDGRP-INCIRLIK",
"ParentOrgTIN": null,
"OrgName": "39TH MEDGRP-INCIRLIK",
"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": "BLDG 865",
"SecondLineMailingAddress": "RM D201",
"MailingAddressCityName": "APO",
"MailingAddressStateName": "AE",
"MailingAddressPostalCode": "09824-0185",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "BLDG 865",
"SecondLinePracticeLocationAddress": "RM D201",
"PracticeLocationAddressCityName": "APO",
"PracticeLocationAddressStateName": "AE",
"PracticeLocationAddressPostalCode": "09824-0185",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "210-221-8274",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/06/2006",
"LastUpdateDate": "07/28/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MORALES",
"AuthorizedOfficialFirstName": "HECTOR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DHA POD",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "210-536-6118",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332000000X",
"TaxonomyName": "Military/U.S. Coast Guard Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}