{
"Npi": {
"NPI": "1841226040",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ELDERSCRIPT SERVICES LLC",
"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": "146 S THOMAS ST",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "TUPELO",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38801-5328",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-842-6204",
"MailingAddressFaxNumber": "662-842-6205",
"FirstLinePracticeLocationAddress": "146 S THOMAS ST",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "TUPELO",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38801-5328",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-842-6204",
"PracticeLocationAddressFaxNumber": "662-842-6205",
"EnumerationDate": "06/23/2006",
"LastUpdateDate": "10/24/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RILEY",
"AuthorizedOfficialFirstName": "CARMEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR OF PHARMACY",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D",
"AuthorizedOfficialTelephoneNumber": "662-842-6204",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": "06957023",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}