{
"Npi": {
"NPI": "1831230796",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHARM R X 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": "1630 POWERS RIDGE PL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SANDY SPRINGS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30327-4298",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "404-455-1938",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "926 MONTREAL RD STE B",
"SecondLinePracticeLocationAddress": "STE 2",
"PracticeLocationAddressCityName": "CLARKSTON",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30021-1368",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "404-299-8255",
"PracticeLocationAddressFaxNumber": "404-299-8219",
"EnumerationDate": "02/12/2007",
"LastUpdateDate": "01/13/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAYA",
"AuthorizedOfficialFirstName": "SOL",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PIC",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "404-299-8255",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHRE008385",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}