{
"Npi": {
"NPI": "1831627553",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRANSFER PHARMACY 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": "225 EDGEWOOD DRIVE EXT STE 102",
"SecondLineMailingAddress": "SUITE 102",
"MailingAddressCityName": "TRANSFER",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "16154-1817",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "724-646-2828",
"MailingAddressFaxNumber": "724-588-2047",
"FirstLinePracticeLocationAddress": "225 EDGEWOOD DRIVE EXT STE 102",
"SecondLinePracticeLocationAddress": "SUITE 102",
"PracticeLocationAddressCityName": "TRANSFER",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "16154-1817",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "724-646-2828",
"PracticeLocationAddressFaxNumber": "724-588-2047",
"EnumerationDate": "05/25/2017",
"LastUpdateDate": "07/19/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WALBERG",
"AuthorizedOfficialFirstName": "BRETTON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "724-612-2131",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "PP482714",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}