{
"Npi": {
"NPI": "1871736702",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FRANCISCAN HEALTH SYSTEM",
"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": "PO BOX 31001-1489",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PASADENA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91110-1489",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "253-530-2653",
"MailingAddressFaxNumber": "253-530-2625",
"FirstLinePracticeLocationAddress": "11511 CANTERWOOD BLVD NW",
"SecondLinePracticeLocationAddress": "STE 220",
"PracticeLocationAddressCityName": "GIG HARBOR",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98332-5813",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-530-2066",
"PracticeLocationAddressFaxNumber": "253-530-2625",
"EnumerationDate": "04/08/2009",
"LastUpdateDate": "03/10/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARBERG",
"AuthorizedOfficialFirstName": "TERESA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "AMBULATORY PHARMACY MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "253-426-6209",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHARCF60078630",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}