{
"Npi": {
"NPI": "1851572226",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUTTON FAMILY PHARMACY, P.C.",
"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": "761 PRATER MILL RD NE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DALTON",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30721-7402",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "706-618-1773",
"MailingAddressFaxNumber": "706-694-3316",
"FirstLinePracticeLocationAddress": "3957 CLEVELAND HWY",
"SecondLinePracticeLocationAddress": "UNIT A",
"PracticeLocationAddressCityName": "DALTON",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30721-7402",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "706-618-1773",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/14/2007",
"LastUpdateDate": "11/14/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SUTTON",
"AuthorizedOfficialFirstName": "GREG",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.PH.",
"AuthorizedOfficialTelephoneNumber": "706-618-1773",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHRE009405",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}