{
"Npi": {
"NPI": "1821600545",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DEBBIE S 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": "102 BARTON CREEK BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WENTZVILLE",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63385-3149",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-482-7897",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "815 HAZELWEST DR STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAZELWOOD",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63042-1762",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "314-895-3300",
"PracticeLocationAddressFaxNumber": "314-451-8585",
"EnumerationDate": "08/24/2020",
"LastUpdateDate": "08/24/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILLIGAN",
"AuthorizedOfficialFirstName": "DEBRA",
"AuthorizedOfficialMiddleName": "LEE ANN",
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "314-482-7897",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}