{
"Npi": {
"NPI": "1861775009",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GPS ACUTE CARE PHARMACY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1039 E HIGHWAY 30",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "GONZALES",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70737-4757",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "225-644-4853",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1039 E HIGHWAY 30",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "GONZALES",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70737-4757",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "225-644-4853",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/23/2011",
"LastUpdateDate": "03/07/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BLACK",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": "SCOTT",
"AuthorizedOfficialTitle": "DIRECTOR OF PHARMACY",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARMACIST",
"AuthorizedOfficialTelephoneNumber": "225-644-4853",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": "6077",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}