{
"Npi": {
"NPI": "1851154546",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BARAKAT 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": "14 SAINT JOHNS AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HICKSVILLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11801-5208",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-223-3692",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "410 JERUSALEM AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HICKSVILLE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11801-5504",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-452-9046",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/05/2024",
"LastUpdateDate": "03/03/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEHIRDEL",
"AuthorizedOfficialFirstName": "SANAULLAH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/PHARMACIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D",
"AuthorizedOfficialTelephoneNumber": "718-223-3692",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}