{
"Npi": {
"NPI": "1871767731",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PHARMAL LLC",
"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": "3375 KOAPAKA STRRET",
"SecondLineMailingAddress": "STE G320",
"MailingAddressCityName": "HONOLULU",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96819",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-628-2870",
"MailingAddressFaxNumber": "808-536-5180",
"FirstLinePracticeLocationAddress": "500 ALA MOANA BLVD",
"SecondLinePracticeLocationAddress": "TOWER 1- SUITE 302",
"PracticeLocationAddressCityName": "HONOLULU",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96813-4920",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "808-628-2870",
"PracticeLocationAddressFaxNumber": "808-536-5180",
"EnumerationDate": "04/22/2008",
"LastUpdateDate": "08/21/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YOSHINO",
"AuthorizedOfficialFirstName": "BRYON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANG",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHRMD",
"AuthorizedOfficialTelephoneNumber": "808-840-5656",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "PHY702",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}