{
"Npi": {
"NPI": "1861798456",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THOMAS JOHNSON 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": "177 THOMAS JOHNSON DR",
"SecondLineMailingAddress": "SUITE B",
"MailingAddressCityName": "FREDERICK",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21702-5101",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "301-682-3220",
"MailingAddressFaxNumber": "301-682-3775",
"FirstLinePracticeLocationAddress": "177 THOMAS JOHNSON DR",
"SecondLinePracticeLocationAddress": "SUITE B",
"PracticeLocationAddressCityName": "FREDERICK",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21702-5101",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "301-682-3220",
"PracticeLocationAddressFaxNumber": "301-682-3775",
"EnumerationDate": "01/31/2011",
"LastUpdateDate": "01/31/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EMAMHOSSEINI",
"AuthorizedOfficialFirstName": "FARANGIS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D",
"AuthorizedOfficialTelephoneNumber": "240-477-9121",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PO5438",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}